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data/STSData_to_SeqNo_Definition.csv

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+STSData columns,SeqNo,Definition,Include,Section,TypeHint,HarvestCodes
+Date_of_Birth,65,Date of birth is,1,Demographics,date,
+Age,70,Age in years is,1,Demographics,numeric,
+Gender,75,Patient's sex at birth is,1,Demographics,binary,
+Height(cm),330,Height of the patient in centimeters is,1,Risk Factors,numeric,
+Weight(kg),335,Weight of the patient in kilograms is,1,Risk Factors,numeric,
+BMI,,"Body Mass Index (BMI), is a numerical value that estimates body fat based on a person's weight in relation to their height and the BMI of the patient is",1,Risk Factors,numeric,
+Surgery_Date,310,Date of index cardiac surgical procedure (the initial major cardiac surgical procedure of the hospitalization) is,1,Surgery Timeline,date,
+Discharge_Date,7008,Date the patient was discharged from the hospital (acute care) is ,0,Surgery Timeline,date,
+Death_Date,,The Death Date of the patient is ,0,Surgery Timeline,date,
+Mortality30d,7001,Patient was alive or dead at 30 days post-surgery (whether in hospital or not).,0,Discharge / Mortality,binary,
+Mortality1y,,Patient's survival time is predicted to be greater than or equal to 1 year.,0,Discharge / Mortality,binary,
+Mortality2y,,Patient's survival time is predicted to be greater than or equal to 2 years.,0,Discharge / Mortality,binary,
+Mortality3y,,Patient's survival time is predicted to be greater than or equal to 3 years.,0,Discharge / Mortality,binary,
+Mortality4y,,Patient's survival time is predicted to be greater than or equal to 4 years.,0,Discharge / Mortality,binary,
+Mortality5y,,Patient was alive or dead at 5 years post-surgery (whether in hospital or not).,0,Discharge / Mortality,binary,
+Race+R1,,Patient's race is ,1,Demographics,numeric,
+Status,1975, This patient clinical status prior to entering the operating room is,1,Operative,numeric,"Elective: Elective which refers to The patient's cardiac function has been stable in the days or weeks prior to the operation. The procedure could be deferred without increased risk of compromised cardiac outcome;Urgent: Urgent which refers to procedure required during same hospitalization in order to minimize chance of further clinical deterioration. Examples include but are not limited to: Worsening, sudden chest pain, CHF, acute myocardial infarction (AMI), anatomy, IABP, unstable angina (USA) with intravenous (IV) nitroglycerin (NTG) or rest angina;Emergent: Emergent which refers to patients requiring emergency operations will have ongoing, refractory (difficult, complicated, and/or unmanageable) unrelenting cardiac compromise, with or without hemodynamic instability, and not responsive to any form of therapy except cardiac surgery. An emergency operation is one in which there should be no delay in providing operative intervention;Emergent Salvage: Emergent Salvage, which refers to the patient is undergoing CPR en route to the OR or prior to anesthesia induction or has ongoing ECMO to maintain life"
+Family_History_CAD,355,"Patient has direct blood relatives (parents, siblings, children) with any of the following before age 55 (male) or 65 (female): Angina, Acute MI, Sudden cardiac death without obvious cause, CABG surgery, PCI.",1,Risk Factors,binary,
+Diabetes,360,Patient has history of diabetes diagnosed and/or treated by a healthcare provider(excludes gestational diabetes).,1,Risk Factors,binary,
+Smoking,400,"Patient is current (within 30 days prior to admission) or previous user of any tobacco product, including Cigarettes, Pipe, Cigars, Smokeless Cans, Other tobacco products (orbs, strips, sticks, hookah, etc.).",1,Risk Factors,binary,
+Hypertension+X1,380,"Patient has a current diagnosis of hypertension defined by one of the following: History of hypertension diagnosed and treated with medication, diet, and/or exercise; Prior documentation of blood pressure >140/90 mm Hg for patients without diabetes or chronic kidney disease, or prior documentation of blood pressure >130/80 mm Hg on at least two occasions for patients with diabetes or chronic kidney disease;or current pharmacologic therapy for hypertension.",1,Risk Factors,binary,
+STS_History.Renal_Failure,,Patient has History of Renal Failure.,1,Renal Function,binary,
+Dialysis,375,Patient is currently (prior to surgery) undergoing dialysis.,1,Risk Factors,binary,
+LastCreatinineLevel,585,"A creatinine level should be collected on all patients, even if they have no prior history of renal disease. A creatinine value is a high predictor of a patient's outcome and is used in the predicted risk models. The creatinine level of the patient closest to the date and time prior surgery but prior to anesthetic management (induction area or operating room) is ",1,Risk Factors,numeric,
+Cerebrovascular_Disease,525,"Patient has current or previous history of any of the following four: (A) Stroke, an acute episode of focal or global neurological dysfunction caused by brain, spinal cord, or retinal vascular injury as a result of hemorrhage or infarction, where the neurological dysfunction lasts for greater than 24 hours. (B) TIA, which is defined as a transient episode of focal neurological dysfunction caused by brain, spinal cord, or retinal ischemia, without acute infarction, where the neurological dysfunction resolves within 24 hours. (C) Noninvasive or invasive arterial imaging test demonstrating >=50% stenosis of any of the major extracranial or intracranial vessels to the brain. (D) Previous cervical or cerebral artery revascularization surgery or percutaneous intervention This does not include chronic (nonvascular) neurological diseases or other acute neurological insults such as metabolic and anoxic ischemic encephalopathy.",1,Risk Factors,binary,
+CVA,530,"Patient has a history of stroke: Stroke is an acute episode of focal or global neurological dysfunction caused by brain, spinal cord, or retinal vascular injury as a result of hemorrhage or infarction, where the neurological dysfunction lasts for greater than 24 hours.",1,Risk Factors,binary,
+CVA_When,535,"The CVA events occurring within 30 days prior to the surgical procedure are considered recent, while all others are considered remote. The CVA events occurred - ",1,Risk Factors,numeric,
+Infectious_Endocarditis,385,"Patient has a history of endocarditis, including pre-operative endocarditis even if antibiotics were started post-operatively, and endocarditis diagnosed intraoperatively.",1,Risk Factors,binary,
+ChronicLungDisease,405,"Patient has history of chronic inhalation reactive disease (asbestosis, mesothelioma, black lung disease or pneumoconiosis) may qualify as chronic lung disease. Radiation induced pneumonitis or radiation fibrosis also qualifies as chronic lung disease. (if above criteria is met) A history of atelectasis is a transient condition and does not qualify. Chronic lung disease can include patients with chronic obstructive pulmonary disease, chronic bronchitis, or emphysema. It can also include a patient who is currently being chronically treated with inhaled or oral pharmacological therapy (e.g., beta-adrenergic agonist, anti-inflammatory agent, leukotriene receptor antagonist, or steroid). Patients with asthma or seasonal allergies are not considered to have chronic lung disease. The severity level of the patient is ",1,Risk Factors,numeric,"0:almost none;1:Mild which refers to FEV1 60% to 75% of predicted, and/or on chronic inhaled or oral bronchodilator therapy;2:Moderate which refers to FEV1 50% to 59% of predicted, and/or on chronic oral/systemic steroid therapy aimed at lung disease;3:Severe which refers to FEV1 < 50% and/or Room Air pO2 < 60 or pCO2 > 50;4:CLD present and the severity not documented;5:Unknown"
+Peripheral_Vasc_Disease,6535,Patient had procedures treating peripheral vascular disease or condition in conjunction with the primary surgical procedure.,1,Other Non-Cardiac Procedures,binary,
+Previous_CV_Intervention,665,"Patient has undergone previous cardiovascular intervention, either surgical or non-surgical, which may include those done during the current admission.",1,Previous Cardiac Interventions,binary,
+Previous_CABG,670,Patient had a previous Coronary Bypass Graft (CABG) prior to the current admission.,1,Previous Cardiac Interventions,binary,
+Previous_Valve,675,Patient had a previous surgical replacement and/or surgical repair of a cardiac valve which may also include percutaneous valve procedures.,1,Previous Cardiac Interventions,binary,
+Other_Cardiac_Intervention,805,Patient had other previous cardiac intervention.,1,Previous Cardiac Interventions,binary,
+PrevOthCardPCI,775,"Previous Percutaneous Coronary Intervention (PCI) was performed any time prior to this surgical procedure. Percutaneous coronary intervention (PCI) is the placement of an angioplasty guide wire, balloon, or other device (e.g. stent, atherectomy, brachytherapy, or thrombectomy catheter) into a native coronary artery or coronary artery bypass graft for the purpose of mechanical coronary revascularization.",1,Previous Cardiac Interventions,binary,
+Cardiogenic_Shock,930,"Cardiogenic shock is defined as a sustained (>30 min) episode of hypoperfusion evidenced by systolic blood pressure <90 mm Hg and/or, if available, cardiac index <2.2 L/min per square meter determined to be secondary to cardiac dysfunction and/or the requirement for parenteral inotropic or vasopressor agents or mechanical support (e.g., IABP, extracorporeal circulation, VADs) to maintain blood pressure and cardiac index above those specified levels. Note: Transient episodes of hypotension reversed with IV fluid or atropine do not constitute cardiogenic shock. The hemodynamic compromise (with or without extraordinary supportive therapy) must persist for at least 30 min. ACCF/AHA 2013. The patient has developed cardiogenic shock. ",1,Previous Cardiac Interventions,binary,
+Arrhythmia,945,"Patient has a history of a cardiac rhythm disturbance prior to the start of the operative procedure, including the institution of anesthetic management.",1,Previous Cardiac Interventions,binary,
+ArrhythmiaAfibAflutter,960,The Arrhythmia was atrial flutter.,1,Previous Cardiac Interventions,binary,
+PriorHeartFailure,920,Patient has a history of heart failure occurring more than 2 weeks before the current episode of care. A previous hospital admission with a principal diagnosis of heart failure is considered evidence of heart failure history but is not required.,1,Previous Cardiac Interventions,binary,
+PreOpMedACE_ARBInhibitors,1020,"Patient received ACE Inhibitors or ARB within 48 hours preceding surgery (e.g., if indicated for LV dysfunction or acute MI).",1,Preoperative Medications,binary,
+PreOpMedADPInhibitors5Days,1060,Patient has received ADP Inhibitors within 5 days preceding surgery.,1,Preoperative Medications,binary,
+PreOpMedAspirin,1070,Patient received Aspirin or Ecotrin within 5 days preceding surgery.,1,Preoperative Medications,binary,
+PreOp_BetaBlockers,1030,Patient received beta blockers within 24 hours preceding surgery or had a documented contraindication to receiving beta-blockers.,1,Preoperative Medications,binary,
+PreOpMedCoumadin,1090,Patient received Coumadin within 24 hours preceding surgery.,1,Preoperative Medications,binary,
+PreOpMedINotropes,1130,Patient received IV inotropic agents within 48 hours preceding surgery.,1,Preoperative Medications,binary,
+PreOpMedNitratesIV,1050,Patient received IV Nitrates within 24 hours preceding surgery.,1,Preoperative Medications,binary,
+PreOpMedSteroids,1143,"Patient was taking steroids within 24 hours of surgery; This does not include a one-time dose related to prophylaxis therapy (i.e. IV dye exposure for cath procedure or surgery pre-induction period) and non-systemic medications (i.e., nasal sprays, topical creams).",1,Preoperative Medications,binary,
+PreOpMedAnticoagulants,1075,Patient received IV and/or subq anticoagulants within 48 hours preceding surgery; this does not include Coumadin or one-time boluses of Heparin.,1,Preoperative Medications,binary,
+PreOpMedGPIIbIIIaInhibitor,1073,Patient received Glycoprotein IIb/IIIa inhibitors within 24 hours preceding surgery.,1,Preoperative Medications,binary,
+MedsG2b3aInhibitorMed,1060,The patient received Glycoprotein IIb/IIIa Inhibitor within 24 hours preceding surgery,1,Preoperative Medications,binary,
+PreOpMedLipidLowering,1135,Patient received lipid lowering medication within 24 hours preceding surgery.,1,Preoperative Medications,binary,
+PreOp_Digitalis,,"Patient received a digitalis glycoside (e.g., digoxin) within 24 hours prior to surgery (before anesthetic induction).",1,Preoperative Medications,binary,
+PreOp_Ca_Antagonists,,"Patient received a calcium-channel blocker (e.g., diltiazem, verapamil, amlodipine, nifedipine) within 24 hours prior to surgery (before anesthetic induction).",1,Preoperative Medications,binary,
+PreOpMedAntiarrhythmics,,"Patient received an antiarrhythmic medication (e.g., amiodarone, sotalol, dofetilide, flecainide, propafenone) within 24 hours prior to surgery (before anesthetic induction).",1,Preoperative Medications,binary,
+PreOpMed Antiplatelets,1085,Patient has received Antiplatelets within 5 days preceding surgery.,1,Preoperative Medications,binary,
+PreOp_Diuretics,,"Patient received a diuretic (e.g., loop, thiazide, potassium-sparing) within 24 hours prior to surgery (before anesthetic induction).",1,Preoperative Cardiac Status,binary,
+_MI,885,Patient has had at least one documented previous myocardial infarction (MI) at any time prior to this surgery.,1,Hemodynamics/Cath/Echo,binary,
+EF,1545,"The percentage of the blood emptied from the left ventricle at the end of the contraction. If a percentage range is reported, the value is reported as a whole number using the ""mean"" (i.e., 50-55% is reported as 53%). The meaning of the values usually refers to the following. Hyperdynamic: >70%; Normal: 50% - 70% (midpoint 60%); Mild dysfunction: 40% - 49% (midpoint 45%); Moderate dysfunction: 30% - 39% (midpoint 35%); Severe dysfunction: <30%. And the EF value is",1,Preoperative Cardiac Status,binary,
+CHF,910,"Patient has physician documentation/report of heart failure within the past 2 weeks, defined by any of the following: unusual dyspnea on light exertion; recurrent dyspnea in the supine position; fluid retention; or signs such as rales, jugular venous distension, or pulmonary edema on physical exam or chest X-ray presumed due to cardiac dysfunction. A low ejection fraction alone, without clinical evidence, does not qualify; an isolated elevated BNP without other supporting documentation should not be coded as CHF.",1,Mechanical Cardiac Assist Devices,binary,
+IABP,3725,Patient was placed on an Intra-Aortic Balloon Pump (IABP).,1,Mechanical Cardiac Assist Devices,numeric,
+IABP_When,3730,The IABP was inserted during the ,1,Mechanical Cardiac Assist Devices,numeric,
+IABP_Indication,3735,The primary reason for inserting the IABP is ,1,Operative,binary,
+CABG,2120,Coronary artery bypass grafting was done.,1,Operative,binary,
+Cross_Clamp_Time,2435,"The total number of minutes that the coronary circulation is mechanically isolated from systemic circulation, either by an aortic cross clamp or systemic circulatory arrest is",1,Operative,numeric,
+Perfusion_Time,2400,Cardiopulmonary bypass time (minutes) - the total duration during which systemic return is diverted through the CPB circuit (includes cerebral perfusion and sucker bypass; excludes circulatory arrest and modified ultrafiltration) - is,1,Operative,numeric,
+IntraopBloodProducts,2515,Blood products were transfused any time intraoperatively during the initial surgery; Intraoperatively is defined as any blood started inside of the OR.,1,Operative,binary,
+IntraopBloodRBC,2520,"The number of units of packed red blood cells that were transfused intraoperatively (does not include autologous, cell-saver, pump-residual or chest tube recirculated blood) is  ",1,Operative,numeric,
+IntraopBloodFFP,2525,The number of units of fresh frozen plasma that were transfused intraoperatively is,1,Operative,numeric,
+IntraopBloodCryo,2535,The number of units of cryoprecipitate that were transfused intraoperatively (one bag of cryo = one unit; The number of units is not volume dependent) is,1,Operative,numeric,
+IntraopBloodPlatelet,2530,"The number of units of platelets that were transfused intraoperatively (This Counts the dose pack as one unit. A dose pack may consist of 4, 6, 8, 10, or any number of donor platelets obtained. The number of units coded is not volume dependent) is ",1,Operative,numeric,0:No;1:Yes planned;2:Yes unplanned
+IntraopBloodFactorVII,2545,Clotting factors were administered intraoperatively - ,1,Operative,numeric,"0:No;1:Yes, Factor VIIa;2:Yes, FEIBA;3:Yes, Composite"
+IntraopMedEpsilonAmi0Caproic,2550,Patient received Epsilon Amino-Caproic Acid in the operating room.,1,Operative,binary,
+IntraopMedTranexamicAcid,2555,Patient received Tranexamic Acid in the operating room.,1,Adult Caridac Anesthesiology,binary,
+Introp DEX or nDEX,7390,Dexmedetomidine infusion was used intraoperatively (usually post-bypass).,1,Coronary Bypass,numeric,ndex:Dexmedetomidine infusion was not used intraoperatively (usually post-bypass);dex:Dexmedetomidine infusion was used intraoperatively (usually post-bypass)
+DistAnastArt,2625,"The total number of distal anastomoses with arterial conduits (whether IMA, GEPA, radial artery, etc) is ",1,Coronary Bypass,numeric,
+DistAnasVein,2638,The total number of distal anastomoses with venous conduits is ,1, Hemodynamics/Cath/Echo,numeric,
+Aortic stenosis,1600,Aortic Stenosis is present.,1,Hemodynamics/Cath/Echo,binary,
+Pulmonic_Stenosis,1840,Pulmonic Stenosis is present.,1,Operative,binary,
+Valve,2125,"A surgical procedure was done on the Aortic, Mitral, Tricuspid or Pulmonic valves.",1,Hemodynamics/Cath/Echo,binary,
+ValveDisTricuspid,1780,Tricuspid Valve disease is present.,1,Hemodynamics/Cath/Echo,binary,
+ValveDisPulmonic,1825,Pulmonic Valve disease is present.,1,Valve Surgery,binary,
+VSMitral,3495,Mitral valve procedure was performed.,1,Valve Surgery,binary,
+Aortic_Procedure,3390,Aortic valve procedure was performed.,1,Valve Surgery,binary,
+Tricuspid_Procedure,3640,A tricuspid valve procedure was performed.,1,Valve Surgery,binary,
+Pulmonic_Procedure,3685,A pulmonic valve procedure was performed.,0,Postoperative Events,binary,
+Complications_Any,6750,"A postoperative event occurred during the hospitalization for surgery which includes the entire postoperative period up to discharge, even if over 30 days.",0,Postoperative Events,binary,
+Oth_Cardiac_Arrest,6905,Patient had an acute cardiac arrest documented by one of the following: (a) Ventricular fibrillation; (b) Rapid ventricular tachycardia with hemodynamic instability; (c) Asystole; (d) ICD shocks.,0,Postoperative Events,binary,
+Neuro_Stroke_Permanent,6810,"The patient has a postoperative stroke and the type of stroke (i.e., any confirmed neurological deficit of abrupt onset caused by a disturbance in blood supply to the brain) that did not resolve within 24 hours.",0,Adult Caridac Anesthesiology,binary,
+Neuro_Delirium,7720,"Patient experienced postoperative delirium, defined as a postoperative altered mental state (e.g., loss of memory or cognitive ability, personality changes, inability to concentrate, or lethargy) without evidence of stroke or coma.",0,Postoperative Events,binary,
+Reop_Bleeding,6755,"Patient was re-explored for mediastinal bleeding, with or without tamponade, either in the ICU or returned to the operating room.",0,Postoperative Events,binary,
+Oth_OtherComplication,6950,A postoperative event occurred that is not captured by any other defined category and impacted hospital length of stay and/or outcome.,0,Postoperative Events,binary,
+Infect_Sternum_Deep,6700,A deep sternal wound infection or mediastinitis was diagnosed within 30 days of the procedure or any time during the hospitalization for surgery.,0,Postoperative Events,binary,
+Infect_Thoracotomy,6710,A surgical site infection involving a thoracotomy or parasternal site was diagnosed within 30 days of the procedure or any time during the hospitalization for surgery.,0,Postoperative Events,binary,
+Pulm_Ventilator_Prolonged,6835,"Patient had prolonged post-operative pulmonary ventilation > 24 hours. Postoperative ventilation time includes OR exit to extubation, plus any additional hours after reintubation; causes may include (but not limited to) ARDS, pulmonary edema, and other conditions requiring mechanical ventilation >24 hours postoperatively.",0,Postoperative Events,binary,
+Pulm_Pneumonia,6840,Patient had pneumonia.,0, Discharge / Mortality,binary,
+Oth_Anticoagulant,7095,Patient was discharged from facility on any other anticoagulant.,0,Postoperative Events,binary,
+Oth_MultiSystem_Failure,6925,Patient experienced compromised function of two or more major organ systems.,0,Postoperative Events,binary,
+Oth_GI,6920,"Patient had a postoperative occurrence of a GI event, including but not limited to: (a) GI bleeding requiring transfusion; (b) pancreatitis with abnormal amylase/lipase requiring nasogastric (NG) suction therapy; (c) cholecystitis requiring cholecystectomy or drainage; (d) mesenteric ischemia requiring exploration; (e) hepatic failure; (f) prolonged ileus; (g) Clostridium difficile.",0,Postoperative Events,binary,
+Renal_Dialysis_Required,6875,"Patient had a new requirement for dialysis postoperatively, which may include hemodialysis, peritoneal dialysis.",0,Postoperative,binary,
+ExtubatedI0R,6585,Patient was extubated in the operating room during the initial surgery (prior to leaving the OR); this also includes cases where the patient expired in the OR during the initial surgery.,0,Postoperative,binary,
+ReIntubated,6590,Patient was reintubated during the hospital stay after the initial extubation which may include patients who have been extubated in the OR and require intubation in the postoperative period.,0,Postoperative,binary,
+No Add Hrs Ventilator,6595,The number of additional hours the patient was on ventilator after initial extubation is,0,Postoperative,numeric,
+InitHrsICU,6610,"Initial ICU hours - the number of hours of ICU-level care immediately after the initial surgery until transfer out of the ICU (including ICU, post-anesthesia recovery, and similar critical-care areas; in single-stay units, count until a physician order changes the level of care) - is",0,Postoperative,numeric,
+ReadmitICU,6615,Patient spent time in an ICU after having been transferred to a step-down unit (lower level care). The step- down situations are described below: OR -> ICU -> OR -> ICU = No; OR -> ICU -> STEP DOWN -> ICU = Yes; OR -> STEP DOWN -> ICU = Yes.,0,Postoperative,binary,
+AddICUHours,6620,"The number of additional hours spent in the ICU, or at the equivalent higher level of care in single stay units is ",0,Postoperative,numeric,
+TotHrsICU,,The sum of initial ICU hours and additional hours spent in ICU is ,0, Discharge / Mortality,numeric,
+DCMed_AntiPlate,7075,Patient was discharged from facility on any other antiplatelet medication.,0,Readmission,binary,
+Readmit_LessThan30Days,7140,Patient was readmitted to an acute-care hospital as an inpatient within 30 days of discharge from the index surgical hospitalization; excludes ED or outpatient visits and admissions to skilled nursing facilities or nursing homes.,0,Postoperative Events,binary,
+Oth_Afib,6930,Patient experienced atrial fibrillation/flutter (AF) requiring treatment; excludes patients who were in AFib at the start of surgery,0,Postoperative Events,binary,