| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | date of physician's estimate(+) | 0;1 | DATE-TIME | B | The Date of Completion of Physician's Estimate of Operative Mortality | |
| 1 | patient(+) | 0;2 | POINTER | 690 | C | This field identifies the patient's name. |
| 2 | hospital of surgery | 0;3 | POINTER | 4 | This field identifies the Hospital where Surgery is to be performed. | |
| 3 | age | 0;4 | NUMERIC | This field identifies the patient's age, between 15 and 99. | ||
| 4 | ht (in) | 0;5 | NUMERIC | HEIGHT OF THE PATIENT IN INCHES | ||
| 5 | ht (cm) | 0;6 | NUMERIC | Height of the patient in centimeters. | ||
| 6 | wt (lbs) | 0;7 | NUMERIC | This field identifies the Patient in pounds. | ||
| 7 | wt (kg) | 0;8 | NUMERIC | This field identifies the weight of the Patient in kilograms. | ||
| 8 | body surface area | 0;9 | NUMERIC | Body surface area in square meters, computed from weight and height. | ||
| 20 | diabetes | 1;1 | BOOLEAN | Y:YES N:NO | A 'Yes' indicates Glucose Intolerance Requiring Treatment with Oral Hypoglycemic Agents or Insulin within 30 days Preceding Heart Surgery | |
| 21 | copd | 1;2 | BOOLEAN | Y:YES N:NO | A 'Yes' indicates Chronic Obstructive Pulmonary Disease Resulting in Functional Disability, and/or Hospitalization, and/or Requiring Bronchodilator Therapy, and/or FEV1>75% of Predicted. | |
| 22 | cigarette smoking (pack years) | 1;3 | NUMERIC | In Pack-Years, average number of packs per day times year smoked. (Do not include Pipe, Cigar Smoking, or Chewing Tobacco). | ||
| 23 | current smoker | 1;4 | BOOLEAN | Y:YES N:NO | 'Yes' indicates the patient is a current smoker. | |
| 24 | active endocarditis | 1;5 | BOOLEAN | Y:YES N:NO | 'Yes' if 2 or More positive blood cultures, or new vegetations, or acute valve dysfunction of infectious cause, or on antibiotic RX for endocarditis within 2 weeks preceding surgery. | |
| 25 | i.v. ntg preoperatively | 1;6 | BOOLEAN | Y:YES N:NO | 'Yes' indicates I.V. Nitroglycerine administered within 48 hours preceding surgery. | |
| 26 | angioplasty | 1;7 | BOOLEAN | Y:YES N:NO | 'Yes' indicates Percutaneous Transluminal Coronary Angioplasty performed or attempted within the 24 hours preceding surgery. | |
| 27 | prior heart surgery | 1;8 | BOOLEAN | Y:YES N:NO | 'Yes' indicates any form of Prior Heart Surgery performed through a Thoracotomy during separate, preceding hospitalization. | |
| 28 | history of chf | 1;9 | BOOLEAN | Y:YES N:NO | 'Yes' indicates symptoms of Pulmonary Congestion or Low Cardiac Output Requiring Therapy with Digitalis, and/or Diuretic, and/or an ACE Inhibitor | |
| 29 | current digitalis use | 1;10 | BOOLEAN | Y:YES N:NO | 'Yes' indicates use of any Digitalis preparation (Digoxin, Lanoxin, Digitoxin, etc.) within 2 weeks preceding surgery. | |
| 30 | current diuretic use | 1;11 | BOOLEAN | Y:YES N:NO | 'Yes' indicates use of any Diuretic agent within 2 weeks preceding surgery. | |
| 31 | peripheral vascular disease | 1;12 | BOOLEAN | Y:YES N:NO | 'Yes' indicates obstruction of Arteries to Legs resulting in Symptoms, and/or Surgery, and/or Angiographically demonstrated Stenosis=>50%. | |
| 32 | cerebral vascular disease | 1;13 | BOOLEAN | Y:YES N:NO | 'Yes' indicates history of TIA, nonembolic stroke, or angiographic evidence of cerebral arterial obstruction => 50%, or Ulcerated plaque. | |
| 33 | prior myocardial infarction | 1;14 | SET OF CODES | 1:OCCURED WITHIN 24 HRS OF SURGERY 2:OCCURED BETWEEN 24 HRS AND 7 DAYS OF SURGERY 3:OCCURED BETWEEN 7 DAYS AND NOT MORE THAN 30 DAYS OF SURGERY 4:OCCURED GREATER THAN 30 DAYS OF SURGERY | Enter 1-4 if two of the following occurred: 1)Typical Pain, 2)Enzyme Rise and Fall, and 3) New Q-waves on the electrocardiogram. | |
| 33.5 | prior mi | 4;13 | SET OF CODES | 1:None 2:< or equal to 7 days of surg. 3:> 7 days of surg. | Enter 1 did not occur: 2 occured within a week before surgery: 3 occured more than a week before surgery if two of the following occurred: a) Typical Pain, b) Enzyme Rise and Fall, and c) New Q-waves on the electrocardiogram. | |
| 34 | preoperative iabp | 1;15 | BOOLEAN | Y:YES N:NO | 'Yes' indicates intra-aortic balloon pump (IABP) in use at some time during the 48 hours preceding surgery. | |
| 35 | unstable angina | 1;16 | BOOLEAN | Y:YES N:NO | 'Yes' indicates angina occurring at rest or prolonged angina unresponsive to nitroglycerine. | |
| 36 | nyha functional class | 1;17 | SET OF CODES | 1:NO SYMPTOMS AT ANY LEVEL OF ACTIVITY 2:SYMPTOMS ON MORE THAN ORDINARY ACTIVITY 3:SYMPTOMS ON ACTIVITIES OF DAILY LIVING 4:SYMPTOMS AT REST | The following functional classes are defined : I - heart disease with no symptoms limiting activity II - slight limitation of physical activity by fatigue, dyspnea, or angina III - marked limitation of physical activity by fatigue, dyspnea, or angina, but no symptoms at rest IV - symptoms at rest and/or inability to carry out any physical activity without symptoms of dyspnea, fatigue, or angina | |
| 37 | hypertension | 1;18 | BOOLEAN | Y:YES N:NO | 'Yes' indicates any history of hypertension requiring therapy, and/or 2 or more blood pressures > 140/95. | |
| 38 | pulmonary rales | 1;19 | BOOLEAN | Y:YES N:NO | 'Yes' indicates rales heard at lung base(s) not clearing with cough and not due to pneumonic process within 2 weeks of surgery. | |
| 39 | resting st-segment depression | 1;20 | BOOLEAN | Y:YES N:NO | 'Yes' indicates horizontal or downsloping ST-segment depression on the resting electrocardiogram => 0.5 mm within 2 weeks of surgery. | |
| 40 | cardiomegaly by chest x-ray | 1;21 | BOOLEAN | Y:YES N:NO | 'Yes' indicates overall cardiac enlargement, and/or cardiothoracic ration => 0.5 on chest x-ray within the 30 days preceding surgery. | |
| 41 | pleural effusion | 1;22 | BOOLEAN | Y:YES N:NO | 'Yes' indicates pleural effusion on any chest x-ray in the month preceding surgery. | |
| 42 | serum creatinine (mg/dl) | 1;23 | NUMERIC | This field identifies a number between 0 and 20, 1 decimal digit. | ||
| 43 | room air pao2 | 1;24 | NUMERIC | This field identifies the partial pressure of oxygen (in mm Hg) of oxygen in arterial blood while breathing room air for => 15 minutes (20-105). | ||
| 44 | fev1 | 1;25 | NUMERIC | This field identifies the forced expired volume in 1 second (FEV1) expressed as % of predicted normal value measured within the 6 months preceding surgery (10-100). | ||
| 45 | lv systolic pressure (mm hg) | 2;1 | NUMERIC | This field identifies the Left Ventricular Systolic pressure measured at the catheterization most closely preceding surgery. Use the 1 most closely reflecting basal conditions (40-240). | ||
| 46 | aortic systolic pressure | 2;2 | NUMERIC | This field identifies a number between 0 and 300, 0 decimal digits. | ||
| 47 | pa systolic pressure (mm hg) | 2;3 | NUMERIC | This field identifies a number between 0 and 150, 0 decimal digits. | ||
| 48 | mean pa wedge pressure (mm hg) | 2;4 | NUMERIC | This field identifies a number between 0 and 99, 0 decimal digits. | ||
| 49 | mean ra pressure (mm hg) | 2;5 | NUMERIC | This field identifies the average right atrial pressure measured at the catheterization most closely preceding surgery. Use the 1 most closely reflecting basal conditions (0-40). | ||
| 50 | lv end-diastolic pressure | 2;6 | NUMERIC | This field identifies a number between 0 and 99, 0 decimal digits. | ||
| 60 | lv ejection fraction | 3;1 | NUMERIC | This field identifies the left ventricular ejection fraction measures by catheterization, radionuclide angiogram (MUGA), or echo within 6 months preceding surgery (.02 - .99). | ||
| 61 | proximal anterior segment | 3;2 | SET OF CODES | 1:NORMAL MOTION 2:MILD HYPOKINESIS 3:SEVERE HYPOKINESIS 4:AKINESIS 5:DYSKINESIS 6:FRANK ANEURYSM | This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6. | |
| 62 | midanterior segment | 3;3 | SET OF CODES | 1:NORMAL MOTION 2:MILD HYPOKINESIS 3:SEVERE HYPOKINESIS 4:AKINESIS 5:DYSKINESIS 6:FRANK ANEURYSM | This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6. | |
| 63 | apex | 3;4 | SET OF CODES | 1:NORMAL MOTION 2:MILD HYPOKINESIS 3:SEVERE HYPOKINESIS 4:AKINESIS 5:DYSKINESIS 6:FRANK ANEURYSM | This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6. | |
| 64 | midinferior segment | 3;5 | SET OF CODES | 1:NORMAL MOTION 2:MILD HYPOKINESIS 3:SEVERE HYPOKINESIS 4:AKINESIS 5:DYSKINESIS 6:FRANK ANEURYSM | This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6. | |
| 65 | proximal inferior segment | 3;6 | SET OF CODES | 1:NORMAL MOTION 2:MILD HYPOKINESIS 3:SEVERE HYPOKINESIS 4:AKINESIS 5:DYSKINESIS 6:FRANK ANEURYSM | This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view: 1-6. | |
| 66 | left main coronary stenosis | 4;1 | NUMERIC | This gives % reduction in luminal diameter of most severe stenosis (0-100) | ||
| 66.5 | number of major coronaries | 4;14 | NUMERIC | This gives number of major coronary arteries (LAD), right with PDA. | ||
| 67 | left ant. desc. stenosis | 4;2 | NUMERIC | This gives % reduction in luminal diameter of most severe stenosis (0-100) | ||
| 68 | left ant. desc. distal disease | 4;3 | SET OF CODES | 0:NO SIGNIFICANT DISTAL DISEASE (< 20% DIAMETER REDUCTION) 2:MODERATE DISTAL DISEASE (20-50 % DIAMETER REDUCTION) 3:SEVERE DISTAL DISEASE (GREATER THAN OR EQUAL TO 50% DIAMETER REDUCTION) | Score Distal Vessel Disease as 0, 2, or 3. | |
| 69 | right coronary stenosis | 4;4 | NUMERIC | Gives % reduction in luminal diameter of most severe stenosis (0-100). Include posterior descending regardless or origin. | ||
| 70 | r. cor. distal ves. disease | 4;5 | SET OF CODES | 0:NO SIGNIFICANT DISTAL DISEASE (< 20% DIAMETER REDUCTION) 2:MODERATE DISTAL DISEASE (20-50 % DIAMETER REDUCTION) 3:SEVERE DISTAL DISEASE (GREATER THAN OR EQUAL TO 50% DIAMETER REDUCTION) | This field identifies the Distal Vessel Disease as 0, 2, or 3. | |
| 71 | circumflex coronary stenosis | 4;6 | NUMERIC | Gives % reduction in luminal diameter of most severe stenosis; include all significant marginals (0-100). | ||
| 72 | circ. cor. distal ves. disease | 4;7 | SET OF CODES | 0:NO SIGNIFICANT DISTAL DISEASE (< 20% DIAMETER REDUCTION) 2:MODERATE DISTAL DISEASE (20-50 % DIAMETER REDUCTION) 3:SEVERE DISTAL DISEASE (GREATER THAN OR EQUAL TO 50% DIAMETER REDUCTION) | Scores Distal Vessel Disease as 0, 2, or 3. | |
| 73 | general medical condition | 4;8 | SET OF CODES | 0:GOOD 1:FAIR 2:POOR | Grades according to general nutrition, concomitant non-cardiac diseases, mental status, debility, etc. (0-2). | |
| 74 | priority of surgery | 4;9 | SET OF CODES | 1:ELECTIVE 2:URGENT 3:EMERGENT | This elective indicates No Alteration in Surgical Schedule, Urgent indicates Surgery must be performed within 24-72 hours, Emergent indicates surgery must be performed with 24 hours of diagnosis. | |
| 75 | estimate of mortality | 4;10 | NUMERIC | This field identifies a number between 0 and 100. | ||
| 75.5 | intended operative procedure | 4;11 | SET OF CODES | 1:Coronary Artery Bypass Graft(s) and/or LV Aneurysectomy 2:Aortic Valve Replacement-with or without CABG 3:Mitral Valve Replacement-with or without CABG 4:Great Vessel Repair 5:Any Other Procedure | This allows the user to choose the intended operative procedure. | |
| 76 | date/time surgery began | 10;1 | DATE-TIME | This field identifies the date/time the surgery began. If this time and date precedes time and date that physician's estimate or mortality was entered, no estimated risk will be calculated. | ||
| 77 | bypass grafts with vein | 10;2 | NUMERIC | This field identifies the number of distal anastomoses constructed with vein grafts (0-9). | ||
| 78 | bypass grafts with artery | 10;3 | NUMERIC | This field identifies the number of distal anastomoses constructed with an internal mammary artery (0-4). | ||
| 79 | great vessel repair w bypass | 10;4 | BOOLEAN | Y:YES N:NO | 'Yes' indicates primary procedure was repair of aorta or other great vessels requiring left heart bypass with or without aortic valve replacement or CABG. | |
| 80 | cardiac transplant | 10;5 | BOOLEAN | Y:YES N:NO | 'Yes' indicates orthotopic or heterotopic transplant. Heart-lung transplant should be listed under 'Other'. | |
| 81 | mitral valve replacement | 10;6 | BOOLEAN | Y:YES N:NO | 'Yes' indicates mitral valve replacement was performed with or without additional procedure(s). | |
| 82 | aortic valve replacement | 10;7 | BOOLEAN | Y:YES N:NO | 'Yes' indicates aortic valve replacement was performed with or without additional procedure(s). | |
| 83 | tricuspid valve replacement | 10;8 | BOOLEAN | Y:YES N:NO | 'Yes' indicates tricuspid valve replacement was performed with cardiopulmonary bypass with or without additional procedure(s). | |
| 84 | valve repair | 10;9 | BOOLEAN | Y:YES N:NO | 'Yes' indicates repair of any cardiac valve was performed with cardiopulmonary bypass with or without additional procedure(s). | |
| 85 | lv aneurysectomy or plication | 10;10 | BOOLEAN | Y:YES N:NO | 'Yes' indicates resection or plication of left ventricular aneurysm with or without additional procedure(s). | |
| 86 | other procedure(s) | 11;0 | MULTIPLE | 694.586 | This allows the user to enter information about other procedures. | |
| 87 | total cross clamp time | 13;1 | NUMERIC | This enters the total duration of aortic cross clamp time in minutes (0-600) | ||
| 88 | total circulatory arrest | 13;2 | BOOLEAN | Y:YES N:NO | Should answer with 'Yes' or 'No'. | |
| 89 | interoperative use of balloon | 13;3 | BOOLEAN | Y:YES N:NO | 'Yes' indicates use of intra-aortic balloon regardless of whether placed pre- or intra-operatively. | |
| 90 | operative death | 13;4 | BOOLEAN | Y:YES N:NO | 'Yes' indicates death from any cause within 30 days of surgery in or out of the hospital, or after 30 days if a direct result of a surgical complication. | |
| 91 | date of operative death | 13;5 | DATE-TIME | This field identifies the date of operative death. | ||
| 92 | postoperative iabp | 13;6 | BOOLEAN | Y:YES N:NO | 'Yes' indicates an Intra-aortic balloon pump was used at any time during the post operative hospitalization, regardless of whether it had been placed earlier. | |
| 93 | perioperative myocar. infarc. | 13;7 | BOOLEAN | Y:YES N:NO | 'Yes' indicates appearance of new or significantly widened Q-waves on postoperative electrocardiogram. | |
| 94 | endocarditis | 13;8 | BOOLEAN | Y:YES N:NO | 'Yes' indicates new onset of endocarditis diagnosed within the 30 days following surgery. | |
| 95 | renal failure | 13;9 | BOOLEAN | Y:YES N:NO | 'Yes' indicates development of exacerbation of renal failure requiring initiation of dialysis during the postoperative hospitalization. | |
| 96 | low cardiac output | 13;10 | BOOLEAN | Y:YES N:NO | 'Yes' indicates cardiac index < 2.0 L/min/M2 for => 6 hours postoperative or evidence of poor peripheral perfusion (e.g. IABP or sustained use of positive inotropic agents). | |
| 97 | mediastinitis | 13;11 | BOOLEAN | Y:YES N:NO | 'Yes' indicates any infection below sternum during postoperative hospitalization or appearing within the 30 days following surgery. | |
| 98 | reoperation for bleeding | 13;12 | BOOLEAN | Y:YES N:NO | 'Yes' if any re-exploration of thorax for excessive bleeding during postoperative hospitalization. | |
| 99 | repeat cardiopulmonary bypass | 13;13 | BOOLEAN | Y:YES N:NO | 'Yes' indicates any surgical procedure requiring cardiopulmonary bypass during post-operative hospitalization or within 30 days of initial operation. | |
| 100 | on ventilator (48 hrs or more) | 13;14 | BOOLEAN | Y:YES N:NO | 'Yes' indicates total duration of ventilator-assisted respiration during postoperative hospitalization was => 48 hours. | |
| 101 | coma (24 hrs or more) | 13;15 | BOOLEAN | Y:YES N:NO | 'Yes' indicates significantly impaired level of consciousness (exclude transient disorientation or psychosis) for => 48 hours during postoperative hospitalization. | |
| 102 | stroke | 13;16 | BOOLEAN | Y:YES N:NO | 'Yes' indicates objective neurologic deficit lasting => 30 minutes with onset intra- or post-operatively. | |
| 103 | ptca | 4;12 | SET OF CODES | 1:none recent 2:12 - 72 hr 3:<12 hr | This field identifies percutaneous transluminal coronary artery angioplasty. | |
| 104 | lv contraction score | 4;15 | SET OF CODES | 1:I > 0.54 Normal 2:II 0.45-0.54 Mild dysfunction 3:III 0.35-0.44 Moderate dysfunction 4:IV 0.25-0.34 Severe dysfunction 5:V <0.25 Very severe dysfunction 0:? unknown No LV study | This field identifies the LV Contraction score. | |
| 105 | electrophysiologic procedure | 4;16 | BOOLEAN | Y:YES N:NO | This field identifies the electrophysiologic procedure. | |
| 106 | physician estimate date | 4;17 | DATE-TIME | This field identifies the physician's estimate date. | ||
| 107 | physician's estimate | 4;18 | NUMERIC | This field identifies a number between 0 and 100, 2 decimal digits and is the estimate survival rate of the patient. |
Not Referenced