Morbidity and Mortality statistics?

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A

Anne K Sippit

I would like to have a good, up to date, reference to the mortality and morbidity associated with MVR. I have seen as low as 1-2% and as high as 4-5% mortality rates with an expected rate somewhere in between.

For complications and morbidity I have not seen much at all. Any direction for further reading would be appreciated.
 
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Hi Anne,

Sorry I can't help with your question about MVR surgery mortality.

The most recent generalized mortality numbers I heard for AVR surgery were 4-5%.

A friend recently scheduled a heart cath procedure and was told not to worry as the mortality rate for that procedure was only 1%. I guess he has nothing to worry about as long as he's not a part of the 1%.

-Philip
 
The problem with morbidity/mortality stats is they consider ALL patients and it's virtually impossible to find them being segmented out to whatever particular "group" you may be in. For instance, I went into surgery as a 28YO non-smoker with no other complicating factors (such as diabetes). I can tell you that the morbidity/mortality rate for me was much lower than someone in their 70's that is severely overweight and has other outstanding medical issues. When talking to my surgeon at the pre-surgery consult, he told me that he had done over 700 mitral valve surgeries and never lost a first-time patient. (BTW, you didn't mention with your numbers whether they include first surgeries or also people going in for their 3rd or 4th - it makes a huge difference.) Others here have reported similar stats from their surgeons, so I actually don't think it's that unusual. By far the greatest number of valve surgeries are performed on people of advanced age, a fact that skews the numbers significantly.

If you think about it practically, a morbidity/mortality rate of 5% would mean that one out of every twenty patients was not surviving. I'm not going to check the surgery calender right now to confirm it, but by my estimation, there are typically 10-15 members who have surgery that are members of this site every month. Also from my recollection (I really hope I'm not wrong), I believe it has been years since a VR.com member was lost during a surgery. That's obviously only anecdotal evidence, and a severely uncontrolled sample population, but still something to consider.
 
50/50. 50% chance of having a great outcome 50% chance of having a not so great outcome. Your creator is the one that determines the statistics.
 
Statistics are very complicated and there are so many variables. I would ask your surgeon about his stats or the hospital's stats. They would be much more in tune with what your personal medical problems are that could influence mortality or morbidity.
 
When I heard the 1-2% factor....I almost ran for the hills.
My doctor pointed out that I was: young (45), non smoker, non drinker, low cholesterol, eating well, and that the stats would be even lower in my case.
 
As many have said before me in years past, the only stats that you should be concerned about are the stats if you DON"T have the surgery done.

Those are pretty grim.
 
One of the surgeons I spoke with before my surgery uses Euroscore. This isn't really the data you are looking for but it does appear to be an accurate calculator for mortality statistics. If you want to know what factors influence mortality the most, just play around with the calculator and see how the numbers change with different settings. (being female = 1% greater risk, renal failure before surgery = 2% more risk, etc)
 
Bina said:
When I heard the 1-2% factor....I almost ran for the hills.
My doctor pointed out that I was: young (45), non smoker, non drinker, low cholesterol, eating well, and a goat owner, that the stats would be even lower in my case.
Click to expand...


Needed repair, so it's fixed! :D
 
Aaron_b said:
One of the surgeons I spoke with before my surgery uses Euroscore. This isn't really the data you are looking for but it does appear to be an accurate calculator for mortality statistics. If you want to know what factors influence mortality the most, just play around with the calculator and see how the numbers change with different settings. (being female = 1% greater risk, renal failure before surgery = 2% more risk, etc)
Click to expand...

Based on the information you have provided... if 100 people like you, had an operation like yours, 16 would die during or shortly after the operation, and 84 would live. Your EuroSCORE is 16. :eek:
 
Meaningful Stats

Meaningful Stats

In the field of education we often comment that statistics can be made to say whatever is needed to support whatever we want people to think is true.

The fatalistic side me makes me believe that when my time's up, my time's up.

One of my freshman students who successfully battled a rare form of cancer this year caught me in the hall a few weeks ago, threw her arm over my shoulder, and commented, "Ya know, we have something in common. We've both looked death in the eye and laughed didn't we?" I replied, "Yes we've both looked death in the eye, but I wasn't laughing; he made me nervous."

As was noted in someone's previous post, I'm much less concerned with the the general mortality statistics associated with valve replacement surgeries and more concerned about the statistics associated with the decisions people make to not have needed surgeries done. We all know what those statistics look like.

Probably the biggest change that has resulted from my AVR surgery is my perspective in promoting cardiac health. I'm sure my employees get tired of hearing me preach about it.

-Philip
 
and on a lighter note .......................

and on a lighter note .......................

a former prime minister (England, some time ago) was quoted as saying "there are lies, damn lies and then there's statistics.
 
Benjamin Disraeli. Later quoted frequently in the US by Mark Twain and often erroneously ascribed to him. Once quoted by Winston Churchill in a wartime speech, causing it to be incorrectly attributed to him by me in this forum. Corrected by...I can't remember whom. But I always remember the attribution now.

Anne, Use severe caution in diving into statistics of this type. By the nature of statistics, they are aged and often irrelevant to current patients. As collections, they do not generally address the myriad and often severe biases of individual contributors, particularly the age and comorbidities factors previously mentioned. As well, they are frequently provided out of context.

A valid statistic would be that the average valve recipient tends to live only twenty years or less after the surgery. Of course, the average valve recipient is in his mid-sixties, and the average lifespan is less than eighty. You do the math.

Such a statement would be "statistically true," but if you tell that statistic to a 25-year-old who's about to receive a valve, you're deceiving her through lack of context. The actual statement plainly doesn't provide or support any evidence that valve recipients die younger than anyone else, nor earlier on average.

Reality is more than statistics, and statistics are often less than reality.

Best wishes,
 
I am also an owner of a goat, so I believe my prosepects are excellent. :D

No really, I just today saw a guy my age (25) that's had 4 open heart surgeries. All of his valves have been replaced and he smokes like a chimney. He's still alive, so I'm feeling pretty good about what I need done.

I'm actually finding it hard to believe the stats are as high as they say too. BUT i would like to know how people die from OHS.
 
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