ObjectiveTo apply and to compare the Society of Thoracic Surgery score (STS),
EuroSCORE (Eurosc1), EuroSCORE II (Eurosc2) and InsCor (IS) for predicting
mortality in patients undergoing to coronary artery bypass graft and/or
valve surgery at the Santa Casa Marilia.Methods The present study is a cohort. It is a prospective, observational,
analytical and unicentric. We analyzed 562 consecutive patients coronary
artery bypass graft and/or valve surgery, between April 2011 and June 2013
at the Santa Casa Marilia. Mortality was calculated for each patient through
the scores STS, Eurosc1, Eurosc2 and IS. The calibration was calculated
using the Hosmer Lemeshow test and discrimination by ROC curve.ResultsThe hospital mortality was 4,6%. The calibration is generally adequate group
P =0.345, P =0.765, P
=0.272 and P =0.062 for STS, Eurosc1, Eurosc2, and IS
respectively. The discriminatory power of STS score 0.649 (95% CI 0.529 to
0.770, P =0.012), Eurosc1 0.706 (95% CI 0.589 to 0.823,
P ≤0.001), Eurosc2 was 0.704 (95% CI 0.590-0.818
P =0.001) and InsCor 0.739 (95% CI 0.638 to 0.839,
P ≤0.001).ConclusionWe can say that overall, the InsCor was the best model, mainly in the
discrimination of the sample. The InsCor showed good accuracy, in addition
to being effective and easy to apply, especially by using a smaller number
of variables compared to the other models.