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      Uma reflexão sobre o desempenho da cirurgia cardíaca pediátrica no Estado de São Paulo Translated title: A reflection on the performance of pediatric cardiac surgery in the State of São Paulo

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          The Aristotle score for congenital heart surgery.

          The aim of the Aristotle project was to develop a new method of evaluation of quality of care in congenital heart surgery based on the complexity of the surgical procedures. Involving a panel of expert surgeons, the project started in 1999 and included 50 pediatric surgeons from 23 countries representing International Scientific Societies. The complexity was based on the procedures as defined by the Society of Thoracic Surgeons (STS)/European Association for Cadiothoracic Surgery (EACTS) International Nomenclature and was undertaken in two steps: The first step was establishing the Basic Score, which adjusts only the complexity of the procedures and is based on three factors: the potential for mortality, the potential for morbidity, and the anticipated technical difficulty. The second step was the development of the Comprehensive Score, which further adjusts the complexity according to the specific patient characteristics. The Aristotle score allows precise scoring of the complexity for 145 congenital heart surgery procedures. One interesting concept coming out of this study is that complexity is a constant and precise value for a given patient regardless of the center where he is operated. The Aristotle method allows proposing the following equation of quality of care: Complexity FN Outcome = Performance. The Aristotle score, electronically available, was introduced in the EACTS and STS databases. A validation process, designed to evaluate its predictive value, is being developed.
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            Avaliação da política nacional de atenção cardiovascular de alta complexidade com foco na cirurgia cardiovascular pediátrica

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              Portaria 210 SAS/MS de 15 de junho de 2004. Serviços de cirurgia cardiovascular pediátrica

              (2004)
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rbccv
                Brazilian Journal of Cardiovascular Surgery
                Braz. J. Cardiovasc. Surg.
                Sociedade Brasileira de Cirurgia Cardiovascular (São José do Rio Preto )
                1678-9741
                September 2012
                : 27
                : 3
                : 457-462
                Affiliations
                [1 ] Sociedade Brasileira de Cirurgia Cardiovascular Brazil
                [2 ] Universidade de São Paulo Brazil
                [3 ] Sociedade Brasileira de Cirurgia Cardiovascular Brazil
                [4 ] Universidade de São Paulo Brazil
                [5 ] Irmandade da Santa Casa de Misericórdia de São Paulo Brazil
                [6 ] Sociedade Brasileira de Cirurgia Cardiovascular Brazil
                Article
                S0102-76382012000300018
                10.5935/1678-9741.20120076
                c50e3966-461c-4085-84d2-a5b928983732

                http://creativecommons.org/licenses/by/4.0/

                History
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                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=0102-7638&lng=en
                Categories
                CARDIAC & CARDIOVASCULAR SYSTEMS
                SURGERY

                Surgery,Cardiovascular Medicine
                Surgery, Cardiovascular Medicine

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