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. 2016 May 20;5(5):e003028. doi: 10.1161/JAHA.115.003028

Table 2.

Harmonized RACHS‐1 Risk Adjustment Model for In‐Hospital Mortality

Derivation Data Set (HCUP SID 2008) Validation Data Set (HCUP SID 2013)
Odds Ratio 95% CI P Value Odds Ratio 95% CI P Value
RACHS‐1 risk category
1 1.00 1.00
2 1.09 0.65–1.82 0.75 1.30 0.66–2.55 0.45
3 2.28 1.31–3.94 0.003 2.45 1.27–4.72 0.008
4 2.78 1.57–4.93 <0.001 3.46 1.76–6.80 <0.001
5+6 5.16 2.91–9.14 <0.001 7.10 3.48–14.5 <0.001
Age at surgery
≤28 d 6.28 4.54–8.69 <0.001 6.16 4.35–8.71 <0.001
29–90 d 2.96 2.16–4.07 <0.001 3.32 2.08–5.29 <0.001
91–364 d 1.19 0.89–1.59 0.23 1.80 1.23–2.64 0.002
1–17 y 1.00 1.00
Birth weight 500–2499 g 1.96 1.49–2.59 <0.001 2.34 1.74–3.14 <0.001
Major noncardiac structural anomaly 1.27 1.06–1.51 0.008 2.23 1.75–2.84 <0.001
Multiple congenital heart procedures during admission 2.19 1.81–2.66 <0.001 2.15 1.75–2.64 <0.001
Admission type transfer in 0.96 0.76–1.21 0.73 1.10 0.88–1.37 0.04

RACHS‐1 indicates Risk Adjustment for Congenital Heart Surgery.Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project (HCUP), State Inpatient Databases (SID).24, 25