ArticleBrazilian journal of cardiovascular surgery2021
Translation and Validation of the Boston Technical Performance Score in a Developing Country.
Article in Brazilian journal of cardiovascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Early and Midterm Reintervention in Valve-Sparing Tetralogy of Fallot Repair: Role of Residual Lesion Score.Pediatric cardiology · 2026Article
- Quality and Safety Initiatives in a Pediatric and Congenital Heart Surgery Program in a Lowand Middle-Income Country: The Impact of International Collaboration.Brazilian journal of cardiovascular surgery · 2025Article
- Clinical outcomes of tetralogy canal repair: A multidisciplinary perspective.Saudi medical journal · 2025Article
- Technical Performance Score: A Robust Predictor of Morbidity Following the Norwood Procedure at a Developing Country Institution.Brazilian journal of cardiovascular surgery · 2025Article
- Magnitude and Risk Factors for Paediatric Congenital Heart Surgery Complication and its association with Patient Outcomes in the Cardiac Center of Ethiopia.Ethiopian journal of health sciences · 2024Article
- Development of the Residual Lesion Score for congenital heart surgery: the RAND Delphi methodology.Cardiology in the young · 2023Article
- A New Dawn for Brazilian Pediatric Cardiac Surgery Is on the Way - Issues Around and Outside the Operating Room.Brazilian journal of cardiovascular surgery · 2022Article
- The Keys to Unleashing Potential.Brazilian journal of cardiovascular surgery · 2021Article
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15 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionThe Technical Performance Score (TPS) was developed and subsequently refined at the Boston Children's Hospital. Our objective was to translate and validate its application in a developing country.
methodsThe score was translated into the Portuguese language and approved by the TPS authors. Subsequently, we studied 1,030 surgeries from June 2018 to October 2020. TPS could not be assigned in 58 surgeries, and these were excluded. Surgical risk score was evaluated using Risk Adjustment in Congenital Heart Surgery (or RACHS-1). The impact of TPS on outcomes was studied using multivariable linear and logistic regression adjusting for important perioperative covariates.
resultsMedian age and weight were 2.2 (interquartile range [IQR] = 0.5-13) years and 10.8 (IQR = 5.6-40) kilograms, respectively. In-hospital mortality was 6.58% (n=64), and postoperative complications occurred in 19.7% (n=192) of the cases. TPS was categorized as 1 in 359 cases (37%), 2 in 464 (47.7%), and 3 in 149 (15.3%). Multivariable analysis identified TPS class 3 as a predictor of longer hospital stay (coefficient: 6.6; standard error: 2.2; P=0.003), higher number of complications (odds ratio [OR]: 1.84; 95% confidence interval [CI]: 1.1-3; P=0.01), and higher mortality (OR: 3.2; 95% CI: 1.4-7; P=0.004).
conclusionTPS translated into the Portuguese language was validated and showed to be able to predict higher mortality, complication rate, and prolonged postoperative hospital stay in a high-volume Latin-American congenital heart surgery program. TPS is generalizable and can be used as an outcome assessment tool in resource diverse settings.
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