| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2000;70:1939-1945
© 2000 The Society of Thoracic Surgeons
a Center for Devices and Radiological Health, Food and Drug Administration, Rockville, Maryland, USA
Accepted for publication April 26, 2000.
Address reprint requests to Mr Astor, Welch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, 2024 East Monument St, Baltimore, MD 21205
e-mail: bastor{at}jhsph.edu
Background. Nationally representative estimates of in-hospital mortality after aortic valve replacement are needed to evaluate whether results from The Society of Thoracic Surgeons National Cardiac Surgery Database are applicable to other institutions in the United States performing these procedures.
Methods. Data from the 1994 Nationwide Inpatient Sample were used to estimate the patient characteristics and in-hospital mortality rates associated with aortic valve replacements performed in nonfederal hospitals in the United States. Procedural and hospital characteristics were examined for possible associations with in-hospital mortality.
Results. An estimated 46,397 aortic valve replacements were performed. In-hospital mortality occurred in 4.3% of first-time isolated aortic valve replacements and 6.4% overall. The highest quartile of procedure-specific hospital volume, compared with the lowest quartile, was associated with lower in-hospital mortality (adjusted odds ratio, 0.58; 95% confidence interval, 0.42 to 0.81).
Conclusions. The in-hospital mortality rates observed in this study are very similar to those reported from The Society of Thoracic Surgeons database. These data provide substantial evidence that results from The Society of Thoracic Surgeons database are representative of those achieved at other institutions. However, procedure-specific hospital volume must be considered in applying these results to individual institutions.
This article has been cited by other articles:
|
|
 |
|
  B. J. Leavitt, Y. R. Baribeau, A. W. DiScipio, C. S. Ross, R. D. Quinn, E. M. Olmstead, D. Sisto, D. S. Likosky, R. P. Cochran, R. A. Clough, et al. Outcomes of Patients Undergoing Concomitant Aortic and Mitral Valve Surgery in Northern New England Circulation, September 15, 2009; 120(11_suppl_1): S155 - S162. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E B Schelbert, M S Vaughan-Sarrazin, K F Welke, and G E Rosenthal Valve type and long-term outcomes after aortic valve replacement in older patients Heart, September 1, 2008; 94(9): 1181 - 1188. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. K. Rosengart, T. Feldman, M. A. Borger, T. A. Vassiliades Jr, A. M. Gillinov, K. J. Hoercher, A. Vahanian, R. O. Bonow, and W. O'Neill Percutaneous and Minimally Invasive Valve Procedures: A Scientific Statement From the American Heart Association Council on Cardiovascular Surgery and Anesthesia, Council on Clinical Cardiology, Functional Genomics and Translational Biology Interdisciplinary Working Group, and Quality of Care and Outcomes Research Interdisciplinary Working Group Circulation, April 1, 2008; 117(13): 1750 - 1767. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Arnold, J. Ley-Zaporozhan, S. Ley, T. Loukanov, C. Sebening, J.-B. Kleber, B. Goebel, S. Hagl, M. Karck, and M. Gorenflo Outcome After Mechanical Aortic Valve Replacement in Children and Young Adults Ann. Thorac. Surg., February 1, 2008; 85(2): 604 - 610. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. S. Tjang, Y. van Hees, R. Korfer, D. E. Grobbee, and G. J.M.G. van der Heijden Predictors of mortality after aortic valve replacement Eur. J. Cardiothorac. Surg., September 1, 2007; 32(3): 469 - 474. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Grube, G. Schuler, L. Buellesfeld, U. Gerckens, A. Linke, P. Wenaweser, B. Sauren, F.-W. Mohr, T. Walther, B. Zickmann, et al. Percutaneous Aortic Valve Replacement for Severe Aortic Stenosis in High-Risk Patients Using the Second- and Current Third-Generation Self-Expanding CoreValve Prosthesis: Device Success and 30-Day Clinical Outcome J. Am. Coll. Cardiol., July 3, 2007; 50(1): 69 - 76. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. B. Vanky, E. Hakanson, and R. Svedjeholm Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery Ann. Thorac. Surg., June 1, 2007; 83(6): 2036 - 2043. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. H. Kincaid, A. R. Cordell, J. W. Hammon, S. M. Adair, and N. D. Kon Coronary Insufficiency After Stentless Aortic Root Replacement: Risk Factors and Solutions Ann. Thorac. Surg., March 1, 2007; 83(3): 964 - 968. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Gammie, S. M. O'Brien, B. P. Griffith, T. B. Ferguson, and E. D. Peterson Influence of Hospital Procedural Volume on Care Process and Mortality for Patients Undergoing Elective Surgery for Mitral Regurgitation Circulation, February 20, 2007; 115(7): 881 - 887. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. di Marco and G. Gerosa Percutaneous aortic valve replacement: Which patients are suitable for it? A quest for a controlled use J. Thorac. Cardiovasc. Surg., February 1, 2007; 133(2): 294 - 298. [Full Text] [PDF]
|
|
|
|
|
|
J. S. Gammie, J. W. Brown, J. M. Brown, R. S. Poston, R. N. Pierson III, P. N. Odonkor, C. S. White, J. S. Gottdiener, and B. P. Griffith Aortic valve bypass for the high-risk patient with aortic stenosis. Ann. Thorac. Surg., May 1, 2006; 81(5): 1605 - 1610. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Turina Supra-annular aortic valve replacement with a mechanical prosthesis MMCTS, November 29, 2005; 2005(1129): 646. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. B. Schelbert, G. E. Rosenthal, K. F. Welke, and M. S. Vaughan-Sarrazin Treatment Variation in Older Black and White Patients Undergoing Aortic Valve Replacement Circulation, October 11, 2005; 112(15): 2347 - 2353. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Jin, G. L. Grunkemeier, A. Starr, and Providence Health System Cardiovascular Study Grou Validation and Refinement of Mortality Risk Models for Heart Valve Surgery Ann. Thorac. Surg., August 1, 2005; 80(2): 471 - 479. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. B. Schelbert, M. S. Vaughan-Sarrazin, K. F. Welke, and G. E. Rosenthal Hospital Volume and Selection of Valve Type in Older Patients Undergoing Aortic Valve Replacement Surgery in the United States Circulation, May 3, 2005; 111(17): 2178 - 2182. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. G. Byrne, A. N. Karavas, M. Leacche, D. Unic, J. D. Rawn, G. S. Couper, T. Mihaljevic, R. J. Rizzo, S. F. Aranki, and L. H. Cohn Impact of Concomitant Coronary Artery Bypass Grafting on Hospital Survival After Aortic Root Replacement Ann. Thorac. Surg., February 1, 2005; 79(2): 511 - 516. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Yoda, D. Boethig, D. Fritzsche, D. Horstkotte, R. Koerfer, and K. Minami Operative outcome of simultaneous carotid and valvular surgery Ann. Thorac. Surg., August 1, 2004; 78(2): 549 - 555. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Florath, U. P. Rosendahl, A. Mortasawi, S. F. Bauer, F. Dalladaku, I. C. Ennker, and J. C. Ennker Current determinants of operative mortality in 1400 patients requiring aortic valve replacement Ann. Thorac. Surg., July 1, 2003; 76(1): 75 - 83. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
