先天性心脏病手术风险评估系统

The risk evaluation system for congenital heart disease

背景先天性心脏病手术风险分级评分（the risk adjustment in congenital heart surgery-1 method，RACHS-1）和亚里士多德评分在全世界被广泛应用且被证实与先天性心脏病手术预后有较强的联系，其中亚里士多德评分又分为亚里士多德基本评分（aristotle basic complexity score，ABC）和亚里士多德复杂评分（aristotle comprehensive complexity score，ACC）评分。目的对两个评分系统的应用及优略进行综述比较。内容RACHS-1评分在预测死亡率和术后病态率方面优于ABC评分，而ACC评分则优于RACHS-1评分，为了达到相似的预测能力，RACHS-1需要对年龄、早产和主要心脏外异常进行调整。趋向两个评分系统正被进一步精确化并可能实现两者之间的融合。

Background The risk adjustment in congenital heart surgery-1 method （RACHS-1） and the aristotle complexity score are widely used around the world and have been shown to correlate reasonably well with cardiac surgery outcome. The aristotle complexity score include two scores： the aristotle basic complexity score （ABC） and the aristotle comprehensive complexity score （ACC）. Objective Compare the two scores application and their advantages. Content RACHS-1 was a better predictor than ABC with regard to the ability to predict mortality and morbidity. While ACC was a better predictor than RACHS-1. In order to achieve similar performance, RACHS-1 need to be further adjusted on age, prematurity, and major extracardiac abnormalities. Trend Efforts are taken to refine the two systems.They may eventually unify and become one.