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Cardiovascular and Pulmonary Research, Yvonne Viens, SGM, Research Institute, St. Vincent Mercy Medical Center, 2222 Cherry St, MOB2, Suite 1250, Toledo, OH 43608
(Email: robert_habib@mhsnr.org).
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DeCampli and Burke [1] conclude that the comprehensive Aristotle score (CCS) is a superior predictor of early mortality (in-hospital or out-of-hospital within 30 days of surgery) after congenital heart surgery compared with two other more basic mortality risk models: (1) the Risk Adjustment for Congenital Heart Surgery Score (RACHS) and (2) the basic Aristotle score (BCS). This finding is expected, given that CCS incorporates the effects of age and comorbidities. I also concur with the authors' recommendation that the inclusion of CCS scores in The Society of Thoracic Surgeons' Congenital Database is a critical future step. Doing so will allow its further refinement and validation as the basis for risk-adjusted mortality calculations, which are the cornerstone for benchmarking,
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Ann. Thorac. Surg. 2009 88: 151-156.
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