EuroSCORE overestimates the cardiac operative risk

Karabulut, Hasan; Toraman, Fevzi; Alhan, Cem; Çamur, Gerçek; Evrenkaya, Serdar; Dağdelen, Sinan; Tarcan, Sümer

doi:10.1016/s0967-2109(03)00032-2

Cited by 25 publications

(10 citation statements)

References 8 publications

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“…On the other hand, Riha et al (16) compared the outcomes of off-pump CABG patients classified as high-and lowrisk according to the EuroSCORE risk model, and concluded that the EuroSCORE was a good predictor of off-pump CABG outcomes. Other studies (7,17) have reported that the predictive performance of EuroSCORE at higher risk scores is lower than at lower scores. Different factors, such as the small number of highrisk patients, the demographic differences of patients among different regions, differences in lifestyle and differences in the nature of data collection might have contributed to these findings.…”

Section: Discussionmentioning

confidence: 88%

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: 88%

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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“…This definition sometimes includes the observation of patients within 30 days after hospital discharge, or during hospital stay related to the surgery at any time, as it is suggested in our study. However, in other studies [2,8,11,22,25,26] are considered deaths only those occurred during hospitalization. EuroSCORE was applied on several occasions in which the reports are unclear about the definition of the period used in the analysis on the occurrence of death [2,8,11,22,25,26].…”

Section: Discussionmentioning

confidence: 99%

Aplicação do EuroSCORE na cirurgia de revascularização miocárdica em hospitais públicos do Rio de Janeiro

Carvalho¹,

Silva²,

Klein³

et al. 2010

Rev Bras Cir Cardiovasc

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Background: Risk stratification models are used to assess the risk of death in surgery.Objective: To conduct a critical analysis of the EuroSCORE logistic model (ES) application in 2,692 patients undergoing Coronary Artery Bypass Grafting (CABG) in four public hospitals in the Rio de Janeiro Municipality, from 1999 through to December 2003.Methods: Random samples of 150 medical records for surviving and deceased patients were selected at four public hospitals in the City of Rio de Janeiro. The ES was applied, using the logistical model. The observed lethality rate and that forecast by the model were compared. The measurement of the discriminatory power was estimated by the area under the ROC curve.Results: 546 of the 600 selected medical records were located. A significant difference was noted between the prevalence rates for the risk factors in the Brazilian and European populations. The forecast lethality rate was 3.62% (CI-95%: 3.47-3.78) while the estimated observed rate was 12.22% (CI-95%-10.99-13.46). In all risk ranges, the predicted lethality rate is under-estimated, with notable differences between the predicted and observed rates. The area under the ROC curve was estimated at 0.62. Conclusion: The differences in the prevalence rates for the risk factors constituting the ES, associated with its low power of discrimination, hamper any recommendation of the use of this model in Brazil, without the necessary adjustments.Descriptors: Risk Factors; Coronary Artery Bypass; Coronary Artery Disease. 210CARVALHO, MRM ET AL -Application of the EuroSCORE in coronary artery bypass surgery in public hospitals in Rio de Janeiro, Brazil Rev Bras Cir Cardiovasc 2010; 25(2): 209-217

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“…[10]. Studies evaluating the EuroSCORE in certain populations show conflicting results regarding its accuracy [21][22][23][24][25][26]. Campagnucci et al [27] in our service, 100 patients undergoing CABG were evaluated and compared the expected mortality rates according to EuroSCORE with the observed mortality rate.…”

Section: Discussionmentioning

confidence: 99%

Proposição de um escore de risco cirúrgico em pacientes submetidos à cirurgia de revascularização miocárdica

Cadore¹,

Guaragna²,

Anacker³

et al. 2010

Rev Bras Cir Cardiovasc

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EuroSCORE overestimates the cardiac operative risk

Cited by 25 publications

References 8 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

Aplicação do EuroSCORE na cirurgia de revascularização miocárdica em hospitais públicos do Rio de Janeiro

Proposição de um escore de risco cirúrgico em pacientes submetidos à cirurgia de revascularização miocárdica

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