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관상동맥우회술 수술환자의 수술 후 사망률 예측모형의 개발
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  • 관상동맥우회술 수술환자의 수술 후 사망률 예측모형의 개발
저자명
박형근,권영대,신유철,이진석,김해준,손문준,안형식,Park. Hyeung-Keun,Kwon. Young-Dae,Shin. You-Cheol,Lee. Jin-Seok,Kim. Hae-Joon,Sohn. Moon-Jun,Ahn. Hy
간행물명
예방의학회지
권/호정보
2001년|34권 1호|pp.21-27 (7 pages)
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대한예방의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Objectives : To develop a model that will predict the mortality of patients undergoing Coronary Artery Bypass Graft (CABG) and evaluate the perfermance of hospitals. Methods : Data from 564 CABGs peformed in six general hospitals were collected through medical record abstraction by registered nurses. Variables studied involved risk factors determined by severity measures. Risk modeling was performed through logistic repression and validated with cross-validation. The statistical performance of the developed model was evaluated using c-statistic, $R^2$, and Hosmer-Lemeshow statistic. Hospital performance was assessed by severity-adjusted mortalities. Results : The developed model included age, sex, BUN, EKG rhythm, Congestive Heart Failure at admission. acute mental change within 24 hours, and previous angina pectoris history. The c-statistic and $R^2$ were 0.791 and 0.001, respectively. Hosmer-Lemeshow statistic was 10.3(p value=0.2415). One hospital had a significantly higher mortality rate than the average mortality rate, while others were net significantly different. Conclusion : Comparing the quality of service by severity adjusted mortality rates, there were significant differences in hospital performance. The severity adjusted mortality rate of CABG surgery may He an indicator for evaluating hospital performance in Korea.