Translation and Validation of the Boston Technical Performance Score in a Developing Country
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Cardiovascular Surgery (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382021000500589 |
Resumo: | Abstract Introduction: The Technical Performance Score (TPS) was developed and subsequently refined at the Boston Children's Hospital. Our objective was to translate and validate its application in a developing country. Methods: The score was translated into the Portuguese language and approved by the TPS authors. Subsequently, we studied 1,030 surgeries from June 2018 to October 2020. TPS could not be assigned in 58 surgeries, and these were excluded. Surgical risk score was evaluated using Risk Adjustment in Congenital Heart Surgery (or RACHS-1). The impact of TPS on outcomes was studied using multivariable linear and logistic regression adjusting for important perioperative covariates. Results: Median age and weight were 2.2 (interquartile range [IQR] = 0.5-13) years and 10.8 (IQR = 5.6-40) kilograms, respectively. In-hospital mortality was 6.58% (n=64), and postoperative complications occurred in 19.7% (n=192) of the cases. TPS was categorized as 1 in 359 cases (37%), 2 in 464 (47.7%), and 3 in 149 (15.3%). Multivariable analysis identified TPS class 3 as a predictor of longer hospital stay (coefficient: 6.6; standard error: 2.2; P=0.003), higher number of complications (odds ratio [OR]: 1.84; 95% confidence interval [CI]: 1.1-3; P=0.01), and higher mortality (OR: 3.2; 95% CI: 1.4-7; P=0.004). Conclusion: TPS translated into the Portuguese language was validated and showed to be able to predict higher mortality, complication rate, and prolonged postoperative hospital stay in a high-volume Latin-American congenital heart surgery program. TPS is generalizable and can be used as an outcome assessment tool in resource diverse settings. |
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Brazilian Journal of Cardiovascular Surgery (Online) |
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Translation and Validation of the Boston Technical Performance Score in a Developing CountryCardiac Surgical ProceduresRisk AdjustmentCongenital Heart SurgeryHospital MortalityPostoperative PeriodReference StandardsAbstract Introduction: The Technical Performance Score (TPS) was developed and subsequently refined at the Boston Children's Hospital. Our objective was to translate and validate its application in a developing country. Methods: The score was translated into the Portuguese language and approved by the TPS authors. Subsequently, we studied 1,030 surgeries from June 2018 to October 2020. TPS could not be assigned in 58 surgeries, and these were excluded. Surgical risk score was evaluated using Risk Adjustment in Congenital Heart Surgery (or RACHS-1). The impact of TPS on outcomes was studied using multivariable linear and logistic regression adjusting for important perioperative covariates. Results: Median age and weight were 2.2 (interquartile range [IQR] = 0.5-13) years and 10.8 (IQR = 5.6-40) kilograms, respectively. In-hospital mortality was 6.58% (n=64), and postoperative complications occurred in 19.7% (n=192) of the cases. TPS was categorized as 1 in 359 cases (37%), 2 in 464 (47.7%), and 3 in 149 (15.3%). Multivariable analysis identified TPS class 3 as a predictor of longer hospital stay (coefficient: 6.6; standard error: 2.2; P=0.003), higher number of complications (odds ratio [OR]: 1.84; 95% confidence interval [CI]: 1.1-3; P=0.01), and higher mortality (OR: 3.2; 95% CI: 1.4-7; P=0.004). Conclusion: TPS translated into the Portuguese language was validated and showed to be able to predict higher mortality, complication rate, and prolonged postoperative hospital stay in a high-volume Latin-American congenital heart surgery program. TPS is generalizable and can be used as an outcome assessment tool in resource diverse settings.Sociedade Brasileira de Cirurgia Cardiovascular2021-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382021000500589Brazilian Journal of Cardiovascular Surgery v.36 n.5 2021reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.21470/1678-9741-2021-0485info:eu-repo/semantics/openAccessMiana,Leonardo A.Nathan,MeenaTenório,Davi FreitasManuel,ValdanoGuerreiro,GustavoFernandes,NatáliaCampos,Carolina Vieira deGaiolla,Paula V.Cassar,Renata SáTurquetto,AidaAmato,LucianaCanêo,Luiz FernandoDaroda,Larissa LeitãoJatene,Marcelo BiscegliJatene,Fabio B.eng2021-11-11T00:00:00Zoai:scielo:S0102-76382021000500589Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2021-11-11T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false |
dc.title.none.fl_str_mv |
Translation and Validation of the Boston Technical Performance Score in a Developing Country |
title |
Translation and Validation of the Boston Technical Performance Score in a Developing Country |
spellingShingle |
Translation and Validation of the Boston Technical Performance Score in a Developing Country Miana,Leonardo A. Cardiac Surgical Procedures Risk Adjustment Congenital Heart Surgery Hospital Mortality Postoperative Period Reference Standards |
title_short |
Translation and Validation of the Boston Technical Performance Score in a Developing Country |
title_full |
Translation and Validation of the Boston Technical Performance Score in a Developing Country |
title_fullStr |
Translation and Validation of the Boston Technical Performance Score in a Developing Country |
title_full_unstemmed |
Translation and Validation of the Boston Technical Performance Score in a Developing Country |
title_sort |
Translation and Validation of the Boston Technical Performance Score in a Developing Country |
author |
Miana,Leonardo A. |
author_facet |
Miana,Leonardo A. Nathan,Meena Tenório,Davi Freitas Manuel,Valdano Guerreiro,Gustavo Fernandes,Natália Campos,Carolina Vieira de Gaiolla,Paula V. Cassar,Renata Sá Turquetto,Aida Amato,Luciana Canêo,Luiz Fernando Daroda,Larissa Leitão Jatene,Marcelo Biscegli Jatene,Fabio B. |
author_role |
author |
author2 |
Nathan,Meena Tenório,Davi Freitas Manuel,Valdano Guerreiro,Gustavo Fernandes,Natália Campos,Carolina Vieira de Gaiolla,Paula V. Cassar,Renata Sá Turquetto,Aida Amato,Luciana Canêo,Luiz Fernando Daroda,Larissa Leitão Jatene,Marcelo Biscegli Jatene,Fabio B. |
author2_role |
author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Miana,Leonardo A. Nathan,Meena Tenório,Davi Freitas Manuel,Valdano Guerreiro,Gustavo Fernandes,Natália Campos,Carolina Vieira de Gaiolla,Paula V. Cassar,Renata Sá Turquetto,Aida Amato,Luciana Canêo,Luiz Fernando Daroda,Larissa Leitão Jatene,Marcelo Biscegli Jatene,Fabio B. |
dc.subject.por.fl_str_mv |
Cardiac Surgical Procedures Risk Adjustment Congenital Heart Surgery Hospital Mortality Postoperative Period Reference Standards |
topic |
Cardiac Surgical Procedures Risk Adjustment Congenital Heart Surgery Hospital Mortality Postoperative Period Reference Standards |
description |
Abstract Introduction: The Technical Performance Score (TPS) was developed and subsequently refined at the Boston Children's Hospital. Our objective was to translate and validate its application in a developing country. Methods: The score was translated into the Portuguese language and approved by the TPS authors. Subsequently, we studied 1,030 surgeries from June 2018 to October 2020. TPS could not be assigned in 58 surgeries, and these were excluded. Surgical risk score was evaluated using Risk Adjustment in Congenital Heart Surgery (or RACHS-1). The impact of TPS on outcomes was studied using multivariable linear and logistic regression adjusting for important perioperative covariates. Results: Median age and weight were 2.2 (interquartile range [IQR] = 0.5-13) years and 10.8 (IQR = 5.6-40) kilograms, respectively. In-hospital mortality was 6.58% (n=64), and postoperative complications occurred in 19.7% (n=192) of the cases. TPS was categorized as 1 in 359 cases (37%), 2 in 464 (47.7%), and 3 in 149 (15.3%). Multivariable analysis identified TPS class 3 as a predictor of longer hospital stay (coefficient: 6.6; standard error: 2.2; P=0.003), higher number of complications (odds ratio [OR]: 1.84; 95% confidence interval [CI]: 1.1-3; P=0.01), and higher mortality (OR: 3.2; 95% CI: 1.4-7; P=0.004). Conclusion: TPS translated into the Portuguese language was validated and showed to be able to predict higher mortality, complication rate, and prolonged postoperative hospital stay in a high-volume Latin-American congenital heart surgery program. TPS is generalizable and can be used as an outcome assessment tool in resource diverse settings. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382021000500589 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382021000500589 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.21470/1678-9741-2021-0485 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
dc.source.none.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery v.36 n.5 2021 reponame:Brazilian Journal of Cardiovascular Surgery (Online) instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
instname_str |
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
instacron_str |
SBCCV |
institution |
SBCCV |
reponame_str |
Brazilian Journal of Cardiovascular Surgery (Online) |
collection |
Brazilian Journal of Cardiovascular Surgery (Online) |
repository.name.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
repository.mail.fl_str_mv |
||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br |
_version_ |
1752126602559356928 |