Analysis and Comparison of Lethal Factors in Valve Replacement Surgery

Chuan-qing XU, Xiao-xiao WEI, Zhen-wei JI, Yan-jun ZENG

Abstract


This research mainly discusses the lethal factors of patients who receive the surgery of heart valve replacement. In this study, on the basis of a large number of clinical data, through the establishment of Logistics regressive mathematical model, the relevant factors in the recent death and the long-term death can be obtained. Through the analysis and comparison of these factors, we found that the main factors in the recent death is: The ASD in cardiovascular disease, PDA, admission cardiac function in class III-IV, the time pf artery block between 61and 90 minutes, the mitral valve ring type is Devega in contraction , the postoperative ejection fraction between 25% and 35 %, the valvula bicuspidalis leaking after surgery is high-risk factors, namely, the patients with above symptoms will have high risks of deaths; While the mortality-related factors with long-term death are: diabetes, ejection fraction, the time of artery block and age. Among them, the history of diabetes, the postoperative ejection fraction less than 35%, the time of artery block between 61 and 90 minutes, patients’ age younger than 15 years and older than 65 years are as high-risk factors. And the influencing factors on both the long-term death and recent death are quite different.

Keywords


Logistic regressive mathematical model, Reamer Intercept Method, The training set.


DOI
10.12783/dtcse/mcsse2016/11000

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