Table 3:
Preoperative Risk of Mortality | Indication for Reoperation | Timing to Reoperation* | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Low (<4%) (N=21) | Medium (4–8%) (N=30) | High (>8%) (N=72) | Prosthetic Deterioration (N=20) | Endocarditis (N=12) | Perivalvular Leak, Sizing/Position, or Failed Repair (N=45) | <1 Month (N=15) | 1–12 Months (N=24) | >12 Months (N=15) | ||
Operative Mortality | 21 (17.1%) | 3 (14.3%) | 3 (10.0%) | 15 (20.8%) | 3 (15.0%) | 3 (25.0%) | 11 (24.4%) | 2 (12.5%) | 4(14.8%) | 3 (20.0%) |
Discharge Location | ||||||||||
Home | 44 (43.1%) | 16 (88.9%) | 13 (48.2%) | 15 (26.3%) | 11 (64.7%) | 3 (33.3%) | 13 (38.2%) | 6 (42.9%) | 11 (47.8%) | 9 (75.0%) |
Extended Care/TCU | 46 (45.1%) | 2 (11.1%) | 11 (40.7%) | 33 (57.9%) | 5 (29.4%) | 3 (33.3%) | 17 (50.0%) | 7 (50.0%) | 9(39.1%) | 2 (16.7%) |
Nursing Home | 4 (3.9%) | 0 | 2 (7.4%) | 2 (3.5%) | 0 | 1 (11.1%) | 2 (5.9%) | 0 | 1 (4.4%) | 0 |
Other Hospital | 7 (6.9%) | 0 | 1 (3.7%) | 6(10.5%) | 1 (5.9%) | 2 (22.2%) | 1 (2.9%) | 1 (7.1%) | 2 (8.7%) | 1 (8.3%) |
Stroke | 4 (3.3%) | 1 (4.8%) | 0 | 3 (4.2%) | 1 (5.0%) | 0 | 1 (2.2%) | 0 | 0 | 0 |
Reoperation | 17 (13.8%) | 5 (23.8%) | 4 (13.3%) | 8(11.1%) | 2 (10.0%) | 1 (8.3%) | 10 (22.2%) | 2 (12.5%) | 2 (7.4%) | 0 |
Prolonged Ventilation† | 50 (40.7%) | 4 (19.1%) | 8 (26.7%) | 38 (52.8%) | 7 (35.0%) | 6 (50%) | 21 (46.7%) | 8 (50.0%) | 9 (33.3%) | 6 (40.0%) |
New Renal Failure | 12 (10.4%) | 1 (4.8%) | 3 (10.3%) | 8(12.3%) | 2 (11.1%) | 2 (22.2%) | 6(14.0%) | 0 | 2 (8.7%) | 2 (14.3%) |
New Atrial Fibrillation | 29 (35.4%) | 5 (29.4%) | 8 (38.1%) | 16 (36.4%) | 5 (31.3%) | 1 (12.5%) | 11 (39.3%) | 3 (33.3%) | 6 (46.2%) | 2 (14.3%) |
New Permanent Pacemaker/ICD | 18 (14.6%) | 5 (23.8%) | 4 (13.3%) | 9 (12.5%) | 4 (20.0%) | 3 (25.0%) | 4 (8.9%) | 3 (18.8%) | 5(18.5%) | 3 (20.0%) |
July 2011-June 2014 only
Prolonged Ventilation – Greater than 24 hours. TCU – Transitional Care Unit