Risk models in cardiac surgery. Differences between mean and median of estimated mortality risk. A misconception

Risk scales are complex statistical tools that enable the preoperative risk of a patient referred for a surgery to be estimated. In cardiac surgery the calculated variable is the expected hospital mortality and its usefulness lies in comparing it to the obtained hospital mortality. To make this comp...

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Detalles Bibliográficos
Autor: Fernandez Tarrio, Ruben
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/17372
Acceso en línea:https://hdl.handle.net/20.500.13003/17372
Access Level:acceso abierto
Palabra clave:Cardiac surgery
Prediction
Risk models
EuroSCORE
Median
Descripción
Sumario:Risk scales are complex statistical tools that enable the preoperative risk of a patient referred for a surgery to be estimated. In cardiac surgery the calculated variable is the expected hospital mortality and its usefulness lies in comparing it to the obtained hospital mortality. To make this comparison the expected mortality of the study population needs to be summarised by a statistic that represents the sample, with the mean commonly being used. The mean is negatively influenced by the extreme values, thus the median should conceptually be more reliable to use for the expected mortalities