Congenital heart surgery outcome analysis: Indian experience.
BACKGROUND
The study aimed to analyze the outcome of congenital heart surgery in a subset of Indian patients, using the Aristotle Basic Complexity score, the Risk Adjustment for Congenital Heart Surgery categories, and the Society of Thoracic Surgeons and European Association for Cardiothoracic Surgery mortality categories.


PATIENTS AND METHODS
1312 patients <18 years of age undergoing congenital heart surgery were assigned the 3 scores and studied for outcome indices of difficulty (cardiopulmonary bypass time or duration of surgery >120 min), morbidity (intensive care unit stay >7 days), and mortality.


RESULTS
The overall mortality was 6.85%, with mean a Aristotle Basic Complexity score, Risk Adjustment for Congenital Heart Surgery category, and Society of Thoracic Surgeons and European Association for Cardiothoracic Surgery mortality category of 7.17 ± 2.04, 2.28 ± 0.78, and 2.24 ± 1.06, respectively. The mortality predictive capacity of the Risk Adjustment for Congenital Heart Surgery category (c = 0.76) was similar to that of the Society of Thoracic Surgeons and European Association for Cardiothoracic Surgery mortality category (c = 0.75); both were better compared to the Aristotle Basic Complexity score (c = 0.66). The Risk Adjustment for Congenital Heart Surgery category and Aristotle Basic Complexity score correlated with morbidity and difficulty outcomes.


CONCLUSION
The study shows that the Aristotle Basic Complexity score, the Risk Adjustment for Congenital Heart Surgery category, and the Society of Thoracic Surgeons and European Association for Cardiothoracic Surgery mortality category are tools of case mix stratification to analyze congenital heart surgery outcomes in a subset of the Indian population.
['Vasdev|Sumit|S|', 'Chauhan|Sandeep|S|', 'Malik|Madhur|M|', 'Talwar|Sachin|S|', 'Velayoudham|Devagourou|D|', 'Kiran|Usha|U|']
D000293:Adolescent D000367:Age Factors D006348:Cardiac Surgical Procedures D002648:Child D002675:Child, Preschool D006330:Heart Defects, Congenital D006801:Humans D007194:India D007223:Infant D007231:Infant, Newborn D007362:Intensive Care Units D007902:Length of Stay D010043:Outcome and Process Assessment, Health Care D011183:Postoperative Complications D011446:Prospective Studies D018570:Risk Assessment D012307:Risk Factors D013997:Time Factors D016896:Treatment Outcome
congenital risk adjustment Aristotle score heart defects