A new look for EJCTS, ICVTS and MMCTS: better service for our readers with the support of our new publisher, the Oxford University Press

Beyersdorf, Friedhelm

doi:10.1093/ejcts/ezr055

Cited by 22 publications

(12 citation statements)

References 5 publications

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“…Additionally, due to the progress in cardiac surgery, the impact of renal function on mortality decreased. Finally, EuroSCORE II was capable of predicting hospital mortality after major cardiac surgery with an excellent discriminative capacity (AUC = 0.81, 95% CI: 0.78-0.83) [ 5 ]. Alcazar et al .…”

Section: Discussionmentioning

confidence: 99%

“…Nashef et al . also advocated this conclusion with 5553 cases [ 5 ]. Howell and colleagues reported EuroSCORE II to be a model with poor calibration ( p = 0.035) and original EuroSCORE to have a statistically significantly better model fit (the difference in AIC was –5.66; p = 0.017) in high-risk patients [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the update of scoring systems was required, so EuroSCORE II was published on May 2010 [ 4 ]. EuroSCORE II has demonstrated a discriminative capacity similar to EuroSCORE (AUC EuroSCORE II = 0.81 vs. AUC EuroSCORE = 0.78), and good calibration (x 2 HL [EuroSCORE II] = 15.48; p = 0.0505) [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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CARDIAC SURGERY Validation of EuroSCORE II risk model for coronary artery bypass surgery in high-risk patients

Kalender

Adademir²,

Taşar³

et al. 2014

kitp

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IntroductionDetermining operative mortality risk is mandatory for adult cardiac surgery. Patients should be informed about the operative risk before surgery. There are some risk scoring systems that compare and standardize the results of the operations. These scoring systems needed to be updated recently, which resulted in the development of EuroSCORE II. In this study, we aimed to validate EuroSCORE II by comparing it with the original EuroSCORE risk scoring system in a group of high-risk octogenarian patients who underwent coronary artery bypass grafting (CABG).Material and methodsThe present study included only high-risk octogenarian patients who underwent isolated coronary artery bypass grafting in our center between January 2000 and January 2010. Redo procedures and concomitant procedures were excluded. We compared observed mortality with expected mortality predicted by EuroSCORE (logistic) and EuroSCORE II scoring systems.ResultsWe considered 105 CABG operations performed in octogenarian patients between January 2000 and January 2010. The mean age of the patients was 81.43 ± 2.21 years (80-89 years). Thirty-nine (37.1%) of them were female. The two scales showed good discriminative capacity in the global patient sample, with the AUC (area under the curve) being higher for EuroSCORE II (AUC 0.772, 95% CI: 0.673-0.872). The goodness of fit was good for both scales.ConclusionsWe conclude that EuroSCORE II has better AUC (area under the ROC curve) compared to the original EuroSCORE, but both scales showed good discriminative capacity and goodness of fit in octogenarian patients undergoing isolated coronary artery bypass grafting.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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CARDIAC SURGERY Validation of EuroSCORE II risk model for coronary artery bypass surgery in high-risk patients

Kalender

Adademir²,

Taşar³

et al. 2014

kitp

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“…This is in line with the EuroSCORE II as well as the Cleveland Clinic 19,20. Pre-operative renal function was determined with the sMDRD formula.…”

Section: Methodsmentioning

confidence: 79%

“…In fact, male gender was almost a mortality hazard (p = 0.0801). In the EuroSCORE II, female gender still contributes to death after surgery, although this contribution is small 19. Others claim that it is not the gender per se, but rather the associated co-morbidities associated with the female gender 31…”

Section: Discussionmentioning

confidence: 99%

Tabula viva chirurgi: a living surgical document

Swart

Joubert

Berg

et al. 2016

CVJA

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SummaryAim:The purpose of this article is to present the results of a private cardiac surgical practice. This information could also serve as a hermeneutical text for new wisdom.Methods:A personal database of 1 750 consecutive patients who had had coronary artery bypass graft (CABG) surgery was statistically analysed. Mortality and major morbidity figures were compared with large registries. Risk factors for postoperative death were determined.Results:Over a period of 12 years, 1 344 (76.8%) males and 406 (23.2%) females were operated on. The observed mortality rate was 3.03% and the expected mortality rate (EuroSCORE) was 3.87%. After stepwise logistic regression, independent risk factors for death were urgency (intra-aortic balloon pump), renal impairment (chronic kidney disease, stage III), re-operation and an additional procedure. Apart from the 53 deaths, another 91 patients had major complications.Conclusion:Mortality and morbidity rates compared favourably with other international registries. Mortality was related to co-morbidities. This outcome contributes to a hermeneutical understanding focusing on new spiritual wisdom and meaning for the surgeon.

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Perioperative Anesthesia Management in Secondary Mitral Regurgitation and Heart Failure

Conte

2014

Secondary Mitral Valve Regurgitation

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This chapter provides an overview of the anesthesia and perioperative intensive care management of patients undergoing surgery for secondary mitral regurgitation (SMR).Evidence-based medicine has led to an unprecedented growth in the scientifi c approach to decision making in the belief that it will translate into benefi ts for patients to decrease their risk and improve outcomes (Cheng and Martin, Semin Cardiothoracic Vasc Anesth 9:1-4, 2005). However, clinicians must apply innumerable, complex, and dynamic interventions to the perioperative care of these challenging patients, interventions that are adjusted to achieve a number of physiologic and clinical goals by selecting, titrating, and timely applying many pharmacologic and nonpharmacologic therapies. In doing so clinicians are of course driven by the available evidence, but also by inductive pathophysiologic reasoning, local culture and policies, resource and technology availability, various concerns, beliefs, bias, and random events. While it is clear that outcome of major surgery is affected greatly by surgical prowess and volume (Birkmeyer et al., N Engl J Med 349:2117-2127, in addition, part of the variance in surgical mortality relates to factors beyond surgical skills, namely to all of that complex activity that is the perioperative medicine (Grocott and Pearse Br J Anaesth 108:723-726, 2012). Therefore, albeit only a few nonsurgical interventions have randomized evidence to support their effect in reducing mortality in patients undergoing cardiac surgery (CS) (Landoni et al., Acta Anaesthesiol Scand 5:259-266, 2011), it is believed that perioperative medicine matters.Perioperative management of patients with SMR is accordingly outlined in the text hereafter, with a main focus on hemodynamics along with hints stemming from an integrative approach of the heart interacting with other organ systems. An extensive review of the body of knowledge relevant to the cardiac anesthesiologist and of all the challenges and details of anesthesia and perioperative management in cardiac surgical candidates is beyond the scope of this chapter and can be found in reference cardiac anesthesia and CS texts. Preoperative and intraoperative echocardiographic imaging, as well as minimally invasive mitral valve (MV) surgery and percutaneous Mitra Clip procedures are covered elsewhere in this book

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A new look for EJCTS, ICVTS and MMCTS: better service for our readers with the support of our new publisher, the Oxford University Press

Cited by 22 publications

References 5 publications

CARDIAC SURGERY Validation of EuroSCORE II risk model for coronary artery bypass surgery in high-risk patients

CARDIAC SURGERY Validation of EuroSCORE II risk model for coronary artery bypass surgery in high-risk patients

Tabula viva chirurgi: a living surgical document

Perioperative Anesthesia Management in Secondary Mitral Regurgitation and Heart Failure

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