CLINICAL AUDIT REPORT 2009 - Centro Cardiologico Monzino

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CENTRO CARDIOLOGICO MONZINO SURGICAL CLINICAL AUDIT REPORT 2009 APPENDICE 2 : EUROSCORE LOGISTICO (www.euroscore.org) Beta coefficients for the Logistic regression model of EuroSCORE Patient-related factors Beta Age Continuous 0.0666354 Sex female 0.3304052 Chronic pulmonary disease Extracardiac arteriopathy longterm use of bronchodilators or steroids for lung disease any one or more of the following: claudication, carotid occlusion or >50% stenosis, previous or planned intervention on the abdominal aorta,limb arteries or carotids 0.4931341 0.6558917 Neurological severely affecting ambulation or day-to-day 0.841626 dysfunction disease functioning Previous cardiac requiring opening of the pericardium 1.002625 surgery Serum creatinine >200m micromol/L preoperatively 0.6521653 Active endocarditis Critical preoperative state patient still under antibiotic treatment for endocarditis at the time of surgery any one or more of the following: ventricular tachycardia or fibrillation or aborted sudden death, preoperative cardiac massage, preoperative ventilation before arrival in the anaesthetic room,preoperative inotropic support, intraaortic balloon counterpulsation or preoperative acute renal failure 1.101265 0.9058132 Cardiac-related factors Unstable angina rest angina requiring iv nitrates until arrival in the anaesthetic room Beta 0.5677075 LV dysfunction moderate or LVEF30-50% 0.4191643 poor or LVEF
CENTRO CARDIOLOGICO MONZINO SURGICAL CLINICAL AUDIT REPORT 2009 Predicted mortality = e (βo + i Xi) / 1+ e (βo + i Xi) Where: e is the natural logarithm = 2.718281828... βo is the constant of the logistic regression equation = -4.789594 βi is the coefficient of the variable Xi in the logistic regression equation provided in the table below. Xi = 1 if a categorical risk factor is present and 0 if it is absent For age, Xi = 1 if patient age < 60; Xi increase by one point per year thereafter 103
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FE% CENTRO CARDIOLOGICO MONZINO SUR
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Decessi CENTRO CARDIOLOGICO MONZINO
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Decessi Diff. fra Mortalità Attesa
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Interventi CENTRO CARDIOLOGICO MONZ
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Diff. fra Mortalità Attesa ed Osse
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CLINICAL AUDIT REPORT 2009 - Centro Cardiologico Monzino

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