Translation and Validation of the Boston Technical Performance Score in a Developing Country
Rev. bras. cir. cardiovasc
; 36(5): 589-598, Sept.-Oct. 2021. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-1351658
Biblioteca responsable:
BR1.1
ABSTRACT
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.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
LILACS
Asunto principal:
Cardiopatías Congénitas
/
Procedimientos Quirúrgicos Cardíacos
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adolescente
/
Niño
/
Niño, preescolar
/
Humanos
/
Lactante
País/Región como asunto:
America del Norte
Idioma:
Inglés
Revista:
Rev. bras. cir. cardiovasc
Asunto de la revista:
Cardiología
/
CIRURGIA GERAL
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Brasil
/
Estados Unidos
Institución/País de afiliación:
Harvard Medical School/US
/
Universidade Federal de Juiz de Fora/BR
/
Universidade de São Paulo/BR