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STS NATIONAL CARDIAC SURGERY DATABASE

1996 AORTIC VALVE REPLACEMENT PATIENTS

UNIVARIATE ANALYSIS: PRE OPERATIVE RISK VARIABLES

 

PATIENT POPULATION: 8,352
OPERATIVE SURVIVORS: 8,032
OPERATIVE MORTALITIES: 320

RISK VARIABLE

Count

% of Pop.

Mortality w/ Variable Present

 

Mortality w/ Variable Absent

 

Relative Risk

c2 p-Value

CCS Class II vs. I

947

11.34%

28/ 947

2.96%

47/ 1,248

3.77%

0.79

0.3010

CCS Class III vs. I

2,008

24.04%

64/ 2,008

3.19%

47/ 1,248

3.77%

0.85

0.3760

CCS Class IV vs. I

742

8.88%

43/ 742

5.80%

47/ 1,248

3.77%

1.54

0.0350

NYHA Class II vs. I

1,243

14.88%

31/ 1,243

2.49%

16/ 654

2.45%

1.02

0.9500

NYHA Class III vs. I

3,154

37.76%

114/ 3,154

3.61%

16/ 654

2.45%

1.47

0.1340

NYHA Class IV vs. I

1,362

16.31%

86/ 1,362

6.31%

16/ 654

2.45%

3.42

0.0002

Aortic Valve Disease

6,970

83.45%

262/ 6,970

3.76%

58/ 1,382

4.20%

0.90

0.4385

Mitral Valve Disease

948

11.35%

57/ 948

6.01%

263/ 7,404

3.55%

1.69

0.0002

Tricuspid Valve Disease

249

2.98%

17/ 249

6.83%

303/ 8,103

3.74%

1.83

0.0124

Pulmonic Valve Disease

38

0.45%

1/ 38

2.63%

319/ 8,314

3.84%

0.69

0.6994

Reoperation #1 vs. First Op

914

10.94%

63/ 914

6.89%

240/ 7,290

3.29%

2.09

0.0000

Multiple Reoperations vs. First Op

148

1.77%

17/ 148

11.49%

240/ 7,290

3.29%

3.49

0.0000

Urgent vs. Elective

1,235

14.79%

69/ 1,235

5.59%

216/ 6,938

3.11%

1.79

0.0000

Emergent vs. Elective

137

1.64%

22/ 137

16.06%

216/ 6,938

3.11%

5.16

0.0000

Emergent/Salvage vs. Elective

42

0.50%

13/ 42

30.95%

216/ 6,938

3.11%

9.94

0.0000

Double Vessel Disease vs. Single

76

0.91%

5/ 76

6.58%

14/ 162

8.64%

0.76

0.5840

Triple Vessel Disease vs. Single

78

0.93%

10/ 78

12.82%

14/ 162

8.64%

1.48

0.3120

Left Main Disease

37

0.44%

2/ 37

5.41%

318/ 8,315

3.82%

1.41

0.6172

Preop IABP

54

0.65%

8/ 54

14.81%

312/ 8,298

3.76%

3.94

0.0000

Age 60 - 65 vs. Age < 60

1,038

12.43%

25/ 1,038

2.41%

56/ 2,509

2.23%

1.08

0.7488

Age 66 - 70 vs. Age < 60

1,268

15.18%

46/ 1,268

3.63%

56/ 2,509

2.23%

1.63

0.0125

Age 71 - 80 vs. Age < 60

2,631

31.50%

124/ 2,631

4.71%

56/ 2,509

2.23%

2.11

0.0000

Age > 80 vs. Age < 60

906

10.85%

69/ 906

7.62%

56/ 2,509

2.23%

3.41

0.0000

E.F. 45% - 54% vs. E.F. >=55%

1,494

17.89%

52/ 1,494

3.48%

86/ 2,842

3.03%

1.15

0.4178

E.F. 35% - 44% vs. E.F. >=55%

875

10.48%

30/ 875

3.43%

86/ 2,842

3.03%

1.13

0.5493

E.F. 25% - 34% vs. E.F. >=55%

483

5.78%

27/ 483

5.59%

86/ 2,842

3.03%

1.85

0.0040

E.F.< 25% vs. E.F. >=55%

202

2.42%

16/ 202

7.92%

86/ 2,842

3.03%

2.62

0.0002

E.F. Unknown vs. E.F. >=55%

2,456

29.41%

109/ 2,456

4.44%

86/ 2,842

3.03%

1.47

0.0065

LVEDP <15

962

11.52%

27/ 962

2.81%

80/ 2,159

3.71%

0.76

0.2030

LVEDP >=15

2,159

25.85%

80/ 2,159

3.71%

27/ 962

2.81%

1.32

0.2030

PA Sys <30

1,199

14.36%

24/ 1,199

2.00%

133/ 3,143

4.23%

0.47

0.0004

PA Sys >=30

3,143

37.63%

133/ 3,143

4.23%

24/ 1,199

2.00%

2.12

0.0004

PA Diast <15

1,687

20.20%

41/ 1,687

2.43%

106/ 2,516

4.21%

0.58

0.0020

PA Diast>=15

2,516

30.12%

106/ 2,516

4.21%

41/ 1,687

2.43%

1.73

0.0020

PA Wedge <15

1,720

20.59%

36/ 1,720

2.09%

98/ 2,051

4.78%

0.44

0.0000

PA Wedge >=15

2,051

24.56%

98/ 2,051

4.78%

36/ 1,720

2.09%

2.29

0.0000

 



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