European system for cardiac operative risk evaluation (EuroSCORE)

Nashef, Samer A.M.; Roques, F.; Michel, Philippe; Gauducheau, E.; Lemeshow, Stanley; Salamon, Roger

doi:10.1016/s1010-7940(99)00134-7

Cited by 2,933 publications

(2,008 citation statements)

References 5 publications

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“…The quality assurance of data collection and risk stratification for proper assessment and outcome improvement in cardiac surgery holds significant importance to the investigators and originators of both studies (14). Both algorithms were developed to score early mortality in cardiac surgery (30 days after surgery for the STS and during hospital stay for EuroSCORE) (1,2,11,14,15). Most studies have applied and some have validated these risk algorithms in isolated CABG surgery (2,4,6,7).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Early mortality from off-pump and on-pump coronary bypass surgery in Canada: A comparison of the STS and the EuroSCORE risk prediction algorithms

Farrokhyar

Wang

Kent

et al. 2007

Canadian Journal of Cardiology

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Section: Discussionmentioning

confidence: 99%

“…The EuroSCORE risk mortality scores were calculated using the EuroSCORE logistic algorithm (2,11,12). The risk factors, along with their corresponding definitions, have been described by Nashef et al (2).…”

Section: Risk Scoresmentioning

confidence: 99%

Early mortality from off-pump and on-pump coronary bypass surgery in Canada: A comparison of the STS and the EuroSCORE risk prediction algorithms

Farrokhyar

Wang

Kent

et al. 2007

Canadian Journal of Cardiology

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“…8 (April 2004 through August 2013). Cardiac transplants, pulmonary endarterectomy procedures, very high‐risk cases that required operation by two or more consultant surgeons, and other procedures for which the logistic EuroSCORE 13 was not suitable, were not studied. Patients under 18 years of age were also not studied.…”

Section: Methodsmentioning

confidence: 99%

“…It includes 17 cardiac, operation‐ and patient‐related factors and is used for risk assessment in many countries. This is the principal patient covariate we considered and it should be sufficient since all important patient‐related factors for in‐hospital mortality were included in its construction, with appropriate weighting 13, 14. Although the original logistic EuroSCORE 13 has been recalibrated (EuroSCORE‐2 14), the original version was in use during this study and was the version supplied by participating centres.…”

Section: Methodsmentioning

confidence: 99%

The contribution of the anaesthetist to risk‐adjusted mortality after cardiac surgery

et al. 2015

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SummaryIt is widely accepted that the performance of the operating surgeon affects outcomes, and this has led to the publication of surgical results in the public domain. However, the effect of other members of the multidisciplinary team is unknown. We studied the effect of the anaesthetist on mortality after cardiac surgery by analysing data collected prospectively over ten years of consecutive cardiac surgical cases from ten UK centres. Casemix‐adjusted outcomes were analysed in models that included random‐effects for centre, surgeon and anaesthetist. All cardiac surgical operations for which the EuroSCORE model is appropriate were included, and the primary outcome was in‐hospital death up to three months postoperatively. A total of 110 769 cardiac surgical procedures conducted between April 2002 and March 2012 were studied, which included 127 consultant surgeons and 190 consultant anaesthetists. The overwhelming factor associated with outcome was patient risk, accounting for 95.75% of the variation for in‐hospital mortality. The impact of the surgeon was moderate (intra‐class correlation coefficient 4.00% for mortality), and the impact of the anaesthetist was negligible (0.25%). There was no significant effect of anaesthetist volume above ten cases per year. We conclude that mortality after cardiac surgery is primarily determined by the patient, with small but significant differences between surgeons. Anaesthetists did not appear to affect mortality. These findings do not support public disclosure of cardiac anaesthetists' results, but substantially validate current UK cardiac anaesthetic training and practice. Further research is required to establish the potential effects of very low anaesthetic caseloads and the effect of cardiac anaesthetists on patient morbidity.

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“…The Parsonnet score and EuroSCORE were used to stratify the risk of death at 30 days. 7,8 The patients were stratified as high risk in the presence of a EuroSCORE ≥ 6 and/or Parsonnet score ≥ 13.…”

Section: Definitions Follow-up and Clinical Endpointmentioning

confidence: 99%

Two‐Year Outcomes of the Sirolimus‐Eluting Stent According to Unprotected Left Main Lesion

Kim

Park

Seol

et al. 2009

Clinical Cardiology

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Background: The data of long-term outcomes of sirolimus-eluting stent (SES) according to lesion location of unprotected left main coronary artery (LMCA) is scarce. Hypothesis: The purpose of this study was to evaluate the long-term outcomes after implantation of the SES in LMCA. Methods: A total of 84 patients (51 males) who had undergone SES implantation for the treatment of native LMCA stenosis were enrolled. The patients were divided into 2 groups based on angiographic lesion location: those with significant stenosis in the ostium and/or body (group 1; n = 39) and those involving bifurcation (group 2; n = 45). Results: All of the group 1 patients were treated with simple lesion coverage while different stenting techniques were used in group 2 (cross-over: 44.8%, T: 6.7%, kissing: 37.8%, and crush techniques: 11.1%). The 8-month quantitative angiographic findings and in-hospital and 2 year rates of major adverse cardiac events (MACE) were compared between the 2 groups. Although angiographic success and in-hospital MACE rates were similar in both groups with 1 cardiac death due to acute stent thrombosis in group 2, at 2-year follow-up, the MACE rate was significantly higher in group 2 than in group 1 at 2 years (22.2% vs 2.6%, respectively, P = 0.008). Coronary angiography revealed a significantly higher binary restenosis rate in group 2 compared with group 1 (20% vs 0%, respectively, P = 0.003). Conclusions: Interventional treatment using SES in left main lesions showed favorable short-term and longterm outcomes in selected patients with lesion location being an important determinant of clinical and angiographic outcomes. IntroductionPercutaneous coronary intervention (PCI) with drug-eluting stent (DES) has been associated with marked reductions in restenosis rates 1 and neointimal hyperplasia formation; 2 this also appears to be the case for the treatment of unprotected left main coronary artery (LMCA) lesions, 3 -5 an observation that stands in contrast with the fact that in the bare-metal stent era an LMCA lesion was a definite indication for coronary artery bypass graft (CABG) surgery. However, there is little data on the long-term outcomes according to LMCA lesion complexity and location and therefore this registry study was aimed at evaluating long-term clinical and angiographic outcomes according to LMCA lesion location post sirolimus-eluting stent (SES) implantation.

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European system for cardiac operative risk evaluation (EuroSCORE)

Abstract: EuroSCORE is a simple, objective and up-to-date system for assessing heart surgery, soundly based on one of the largest, most complete and accurate databases in European cardiac surgical history. We recommend its widespread use.

Cited by 2,933 publications

References 5 publications

Early mortality from off-pump and on-pump coronary bypass surgery in Canada: A comparison of the STS and the EuroSCORE risk prediction algorithms

Early mortality from off-pump and on-pump coronary bypass surgery in Canada: A comparison of the STS and the EuroSCORE risk prediction algorithms

The contribution of the anaesthetist to risk‐adjusted mortality after cardiac surgery

Two‐Year Outcomes of the Sirolimus‐Eluting Stent According to Unprotected Left Main Lesion

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