STS National Database
STS U.S. CARDIAC SURGERY DATABASE
1997 AORTIC VALVE REPLACEMENT PATIENTS
PREOPERATIVE RISK VARIABLES
PATIENT POPULATION:
OPERATIVE SURVIVORS:
OPERATIVE MORTALITIES:
9,095
8,767 ( 96.39% )
328 ( 3.61% )
RISK VARIABLE

Count

% of Pop.

Mortality w/ Variable Present

Mortality w/ Variable Absent

Relative Risk

c2 p-Value

CCS Class II vs. I 52 0.57% 1 / 52 1.92% 58 / 2,016 2.88% 0.67 0.6833
CCS Class III vs. I 3,304 36.33% 109 / 3,304 3.30% 58 / 2,016 2.88% 1.15 0.3918
CCS Class IV vs. I 855 9.40% 61 / 855 7.13% 58 / 2,016 2.88% 2.48 0.0000
 
NYHA Class II vs. I 1,543 16.97% 28 / 1,543 1.81% 11 / 880 1.25% 1.45 0.2882
NYHA Class III vs. I 3,472 38.17% 128 / 3,472 3.69% 11 / 880 1.25% 2.95 0.0002
NYHA Class IV vs. I 1,418 15.59% 100 / 1,418 7.05% 11 / 880 1.25% 5.64 0.0000
 
Aortic Valve Disease 7,810 85.87% 285 / 7,810 3.65% 43 / 1,285 3.35% 1.09 0.5895
Mitral Valve Disease 1,308 14.38% 64 / 1,308 4.89% 264 / 7,787 3.39% 1.44 0.0070
Tricuspid Valve Disease 429 4.72% 20 / 429 4.66% 308 / 8,666 3.55% 1.31 0.2296
Pulmonic Valve Disease 87 0.96% 2 / 87 2.30% 326 / 9,008 3.62% 0.64 0.5110
 
Reoperation #1 vs. First Op 1,081 11.89% 83 / 1,081 7.68% 234 / 7,874 2.97% 2.58 0.0000
Multiple Reoperations vs. First Op 140 1.54% 11 / 140 7.86% 234 / 7,874 2.97% 2.64 0.0009
 
Urgent vs. Elective 1,336 14.69% 79 / 1,336 5.91% 223 / 7,604 2.93% 2.02 0.0000
Emergent vs. Elective 120 1.32% 17 / 120 14.17% 223 / 7,604 2.93% 4.83 0.0000
Emergent/Salvage vs. Elective 35 0.38% 9 / 35 25.71% 223 / 7,604 2.93% 8.77 0.0000
 
Double Vessel Disease vs. Single 103 1.13% 7 / 103 6.80% 4 / 213 1.88% 3.62 0.0254
Triple Vessel Disease vs. Single 135 1.48% 7 / 135 5.19% 4 / 213 1.88% 2.76 0.0857
 
Left Main Disease 30 0.33% 2 / 30 6.67% 326 / 9,065 3.60% 1.85 0.3679
 
Preop IABP 58 0.64% 10 / 58 17.24% 318 / 9,037 3.52% 4.90 0.0000
 
Age 61 - 65 vs. Age < 60 996 10.95% 38 / 996 3.82% 77 / 2,820 2.73% 1.4 0.0852
Age 66 - 70 vs. Age < 60 1,354 14.89% 41 / 1,354 3.03% 72 / 2,639 2.73% 1.11 0.5887
Age 71 - 80 vs. Age < 60 2,928 32.19% 115 / 2,928 3.93% 72 / 2,639 2.73% 1.44 0.0131
Age > 80 vs. Age < 60 997 10.96% 57 / 997 5.72% 72 / 2,639 2.73% 2.10 0.0000
 
E.F. 45% - 54% vs. E.F. =55% 1,738 19.11% 68 / 1,738 3.91% 84 / 3,295 2.55% 1.53 0.0072
E.F. 35% - 44% vs. E.F. =55% 974 10.71% 35 / 974 3.59% 84 / 3,295 2.55% 1.41 0.0820
E.F. 25% - 34% vs. E.F. =55% 560 6.16% 27 / 560 4.82% 84 / 3,295 2.55% 1.89 0.00