Validation and quality measurements for STS, EuroSCORE II and a regional risk model in Brazilian patients
Objectives The objectives of this study were to describe a novel statewide registry for cardiac surgery in Brazil (REPLICCAR), to compare a regional risk model (SPScore) with EuroSCORE II and STS, and to understand where quality improvement and safety initiatives can be implemented. Methods A total...
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| creator | Mejia, Omar Asdrubal Vilca Borgomoni, Gabrielle Barbosa Zubelli, Jorge Passamani Dallan, Luís Roberto Palma Pomerantzeff, Pablo Maria Alberto Oliveira, Marco Antonio Praca Petrucci Junior, Orlando Tiveron, Marcos Gradim Nakazone, Marcelo Arruda Tineli, Rafael Angelo Campagnucci, Valquíria Pelisser Silva, Roberto Rocha e Rodrigues, Alfredo Jose Gomes, Walter Jose Lisboa, Luiz Augusto Ferreira Jatene, Fabio Biscegli |
| description | Objectives The objectives of this study were to describe a novel statewide registry for cardiac surgery in Brazil (REPLICCAR), to compare a regional risk model (SPScore) with EuroSCORE II and STS, and to understand where quality improvement and safety initiatives can be implemented. Methods A total of 11 sites in the state of São Paulo, Brazil, formed an online registry platform to capture information on risk factors and outcomes after cardiac surgery procedures for all consecutive patients. EuroSCORE II and STS values were calculated for each patient. An SPScore model was designed and compared with EuroSCORE II and STS to predict 30-day outcomes: death, reoperation, readmission, and any morbidity. Results A total of 5222 patients were enrolled in this study between November 2013 and December 2017. The observed 30-day mortality rate was 7.6%. Most patients were older, overweight, and classified as New York Heart Association (NYHA) functional class III; 14.5% of the patient population had a positive diagnosis of rheumatic heart disease, 10.9% had insulin-dependent diabetes, and 19 individuals had a positive diagnosis of Chagas disease. When evaluating the prediction performance, we found that SPScore outperformed EuroSCORE II and STS in the prediction of mortality (0.90 vs. 0.76 and 0.77), reoperation (0.84 vs. 0.60 and 0.56), readmission (0.84 vs. 0.55 and 0.51), and any morbidity (0.80 vs. 0.65 and 0.64), respectively (p |
| doi_str_mv | 10.1371/journal.pone.0238737 |
| format | Article |
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Methods A total of 11 sites in the state of São Paulo, Brazil, formed an online registry platform to capture information on risk factors and outcomes after cardiac surgery procedures for all consecutive patients. EuroSCORE II and STS values were calculated for each patient. An SPScore model was designed and compared with EuroSCORE II and STS to predict 30-day outcomes: death, reoperation, readmission, and any morbidity. Results A total of 5222 patients were enrolled in this study between November 2013 and December 2017. The observed 30-day mortality rate was 7.6%. Most patients were older, overweight, and classified as New York Heart Association (NYHA) functional class III; 14.5% of the patient population had a positive diagnosis of rheumatic heart disease, 10.9% had insulin-dependent diabetes, and 19 individuals had a positive diagnosis of Chagas disease. When evaluating the prediction performance, we found that SPScore outperformed EuroSCORE II and STS in the prediction of mortality (0.90 vs. 0.76 and 0.77), reoperation (0.84 vs. 0.60 and 0.56), readmission (0.84 vs. 0.55 and 0.51), and any morbidity (0.80 vs. 0.65 and 0.64), respectively (p<0.001). Conclusions The REPLICCAR registry might stimulate the creation of other cardiac surgery registries in developing countries, ultimately improving the regional quality of care provided to patients.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0238737</identifier><identifier>PMID: 32911513</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Biology and Life Sciences ; Body weight ; Cardiovascular diseases ; Chagas disease ; Coronary artery disease ; Coronary vessels ; Data collection ; Data dictionaries ; Developing countries ; Diabetes mellitus ; Diabetes mellitus (insulin dependent) ; Diagnosis ; Evaluation ; Health risk assessment ; Health risks ; Heart diseases ; Heart surgery ; Hospitals ; Insulin ; LDCs ; Medical care quality ; Medical research ; Medicine and Health Sciences ; Methods ; Morbidity ; Mortality ; Overweight ; Patient outcomes ; Patient safety ; People and places ; Pulmonary arteries ; Quality ; Quality control ; Regional development ; Registries (Medicine) ; Researchers ; Rheumatic heart disease ; Risk analysis ; Risk factors ; Surgery ; Thoracic surgery ; Vector-borne diseases ; Veins & arteries</subject><ispartof>PloS one, 2020-09, Vol.15 (9), p.e0238737-e0238737</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Mejia et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Mejia et al 2020 Mejia et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c669t-53f57c8c2878f6d7fcf8c973b59c05753fe580127395fe46cda0d4480864323d3</citedby><cites>FETCH-LOGICAL-c669t-53f57c8c2878f6d7fcf8c973b59c05753fe580127395fe46cda0d4480864323d3</cites><orcidid>0000-0002-9243-7407 ; 0000-0003-3419-9487 ; 0000-0002-0449-7056 ; 0000-0002-1635-4984</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7482975/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7482975/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53770,53772,79347,79348</link.rule.ids></links><search><contributor>Deo, Salil</contributor><creatorcontrib>Mejia, Omar Asdrubal Vilca</creatorcontrib><creatorcontrib>Borgomoni, Gabrielle Barbosa</creatorcontrib><creatorcontrib>Zubelli, Jorge Passamani</creatorcontrib><creatorcontrib>Dallan, Luís Roberto Palma</creatorcontrib><creatorcontrib>Pomerantzeff, Pablo Maria Alberto</creatorcontrib><creatorcontrib>Oliveira, Marco Antonio Praca</creatorcontrib><creatorcontrib>Petrucci Junior, Orlando</creatorcontrib><creatorcontrib>Tiveron, Marcos Gradim</creatorcontrib><creatorcontrib>Nakazone, Marcelo Arruda</creatorcontrib><creatorcontrib>Tineli, Rafael Angelo</creatorcontrib><creatorcontrib>Campagnucci, Valquíria Pelisser</creatorcontrib><creatorcontrib>Silva, Roberto Rocha e</creatorcontrib><creatorcontrib>Rodrigues, Alfredo Jose</creatorcontrib><creatorcontrib>Gomes, Walter Jose</creatorcontrib><creatorcontrib>Lisboa, Luiz Augusto Ferreira</creatorcontrib><creatorcontrib>Jatene, Fabio Biscegli</creatorcontrib><creatorcontrib>REPLICCAR Study Group</creatorcontrib><title>Validation and quality measurements for STS, EuroSCORE II and a regional risk model in Brazilian patients</title><title>PloS one</title><description>Objectives The objectives of this study were to describe a novel statewide registry for cardiac surgery in Brazil (REPLICCAR), to compare a regional risk model (SPScore) with EuroSCORE II and STS, and to understand where quality improvement and safety initiatives can be implemented. Methods A total of 11 sites in the state of São Paulo, Brazil, formed an online registry platform to capture information on risk factors and outcomes after cardiac surgery procedures for all consecutive patients. EuroSCORE II and STS values were calculated for each patient. An SPScore model was designed and compared with EuroSCORE II and STS to predict 30-day outcomes: death, reoperation, readmission, and any morbidity. Results A total of 5222 patients were enrolled in this study between November 2013 and December 2017. The observed 30-day mortality rate was 7.6%. Most patients were older, overweight, and classified as New York Heart Association (NYHA) functional class III; 14.5% of the patient population had a positive diagnosis of rheumatic heart disease, 10.9% had insulin-dependent diabetes, and 19 individuals had a positive diagnosis of Chagas disease. When evaluating the prediction performance, we found that SPScore outperformed EuroSCORE II and STS in the prediction of mortality (0.90 vs. 0.76 and 0.77), reoperation (0.84 vs. 0.60 and 0.56), readmission (0.84 vs. 0.55 and 0.51), and any morbidity (0.80 vs. 0.65 and 0.64), respectively (p<0.001). Conclusions The REPLICCAR registry might stimulate the creation of other cardiac surgery registries in developing countries, ultimately improving the regional quality of care provided to patients.</description><subject>Biology and Life Sciences</subject><subject>Body weight</subject><subject>Cardiovascular diseases</subject><subject>Chagas disease</subject><subject>Coronary artery disease</subject><subject>Coronary vessels</subject><subject>Data collection</subject><subject>Data dictionaries</subject><subject>Developing countries</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (insulin dependent)</subject><subject>Diagnosis</subject><subject>Evaluation</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Heart diseases</subject><subject>Heart surgery</subject><subject>Hospitals</subject><subject>Insulin</subject><subject>LDCs</subject><subject>Medical care quality</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Overweight</subject><subject>Patient outcomes</subject><subject>Patient safety</subject><subject>People and places</subject><subject>Pulmonary arteries</subject><subject>Quality</subject><subject>Quality control</subject><subject>Regional development</subject><subject>Registries (Medicine)</subject><subject>Researchers</subject><subject>Rheumatic heart disease</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Thoracic surgery</subject><subject>Vector-borne diseases</subject><subject>Veins & 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and quality measurements for STS, EuroSCORE II and a regional risk model in Brazilian patients</title><author>Mejia, Omar Asdrubal Vilca ; Borgomoni, Gabrielle Barbosa ; Zubelli, Jorge Passamani ; Dallan, Luís Roberto Palma ; Pomerantzeff, Pablo Maria Alberto ; Oliveira, Marco Antonio Praca ; Petrucci Junior, Orlando ; Tiveron, Marcos Gradim ; Nakazone, Marcelo Arruda ; Tineli, Rafael Angelo ; Campagnucci, Valquíria Pelisser ; Silva, Roberto Rocha e ; Rodrigues, Alfredo Jose ; Gomes, Walter Jose ; Lisboa, Luiz Augusto Ferreira ; Jatene, Fabio Biscegli</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c669t-53f57c8c2878f6d7fcf8c973b59c05753fe580127395fe46cda0d4480864323d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Biology and Life Sciences</topic><topic>Body weight</topic><topic>Cardiovascular diseases</topic><topic>Chagas disease</topic><topic>Coronary artery 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Passamani</au><au>Dallan, Luís Roberto Palma</au><au>Pomerantzeff, Pablo Maria Alberto</au><au>Oliveira, Marco Antonio Praca</au><au>Petrucci Junior, Orlando</au><au>Tiveron, Marcos Gradim</au><au>Nakazone, Marcelo Arruda</au><au>Tineli, Rafael Angelo</au><au>Campagnucci, Valquíria Pelisser</au><au>Silva, Roberto Rocha e</au><au>Rodrigues, Alfredo Jose</au><au>Gomes, Walter Jose</au><au>Lisboa, Luiz Augusto Ferreira</au><au>Jatene, Fabio Biscegli</au><au>Deo, Salil</au><aucorp>REPLICCAR Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validation and quality measurements for STS, EuroSCORE II and a regional risk model in Brazilian patients</atitle><jtitle>PloS one</jtitle><date>2020-09-10</date><risdate>2020</risdate><volume>15</volume><issue>9</issue><spage>e0238737</spage><epage>e0238737</epage><pages>e0238737-e0238737</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Objectives The objectives of this study were to describe a novel statewide registry for cardiac surgery in Brazil (REPLICCAR), to compare a regional risk model (SPScore) with EuroSCORE II and STS, and to understand where quality improvement and safety initiatives can be implemented. Methods A total of 11 sites in the state of São Paulo, Brazil, formed an online registry platform to capture information on risk factors and outcomes after cardiac surgery procedures for all consecutive patients. EuroSCORE II and STS values were calculated for each patient. An SPScore model was designed and compared with EuroSCORE II and STS to predict 30-day outcomes: death, reoperation, readmission, and any morbidity. Results A total of 5222 patients were enrolled in this study between November 2013 and December 2017. The observed 30-day mortality rate was 7.6%. Most patients were older, overweight, and classified as New York Heart Association (NYHA) functional class III; 14.5% of the patient population had a positive diagnosis of rheumatic heart disease, 10.9% had insulin-dependent diabetes, and 19 individuals had a positive diagnosis of Chagas disease. When evaluating the prediction performance, we found that SPScore outperformed EuroSCORE II and STS in the prediction of mortality (0.90 vs. 0.76 and 0.77), reoperation (0.84 vs. 0.60 and 0.56), readmission (0.84 vs. 0.55 and 0.51), and any morbidity (0.80 vs. 0.65 and 0.64), respectively (p<0.001). Conclusions The REPLICCAR registry might stimulate the creation of other cardiac surgery registries in developing countries, ultimately improving the regional quality of care provided to patients.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32911513</pmid><doi>10.1371/journal.pone.0238737</doi><tpages>e0238737</tpages><orcidid>https://orcid.org/0000-0002-9243-7407</orcidid><orcidid>https://orcid.org/0000-0003-3419-9487</orcidid><orcidid>https://orcid.org/0000-0002-0449-7056</orcidid><orcidid>https://orcid.org/0000-0002-1635-4984</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2020-09, Vol.15 (9), p.e0238737-e0238737 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2441547529 |
| source | DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Biology and Life Sciences Body weight Cardiovascular diseases Chagas disease Coronary artery disease Coronary vessels Data collection Data dictionaries Developing countries Diabetes mellitus Diabetes mellitus (insulin dependent) Diagnosis Evaluation Health risk assessment Health risks Heart diseases Heart surgery Hospitals Insulin LDCs Medical care quality Medical research Medicine and Health Sciences Methods Morbidity Mortality Overweight Patient outcomes Patient safety People and places Pulmonary arteries Quality Quality control Regional development Registries (Medicine) Researchers Rheumatic heart disease Risk analysis Risk factors Surgery Thoracic surgery Vector-borne diseases Veins & arteries |
| title | Validation and quality measurements for STS, EuroSCORE II and a regional risk model in Brazilian patients |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-22T05%3A17%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Validation%20and%20quality%20measurements%20for%20STS,%20EuroSCORE%20II%20and%20a%20regional%20risk%20model%20in%20Brazilian%20patients&rft.jtitle=PloS%20one&rft.au=Mejia,%20Omar%20Asdrubal%20Vilca&rft.aucorp=REPLICCAR%20Study%20Group&rft.date=2020-09-10&rft.volume=15&rft.issue=9&rft.spage=e0238737&rft.epage=e0238737&rft.pages=e0238737-e0238737&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0238737&rft_dat=%3Cgale_plos_%3EA635043069%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2441547529&rft_id=info:pmid/32911513&rft_galeid=A635043069&rft_doaj_id=oai_doaj_org_article_22f9c1d514ef4218bc497df15ee74fe4&rfr_iscdi=true |