EuroSCORE overestimates the risk of cardiac surgery: results from the national registry of the German Society of Thoracic and Cardiovascular Surgery

Gummert, Jan; Funkat, Anne-Kathrin; Osswald, Brigitte; Beckmann, Andreas; Schiller, Wolfgang; Krian, A.; Beyersdorf, Friedhelm; Haverich, Axel; Cremer, Jochen

doi:10.1007/s00392-009-0010-8

Cited by 70 publications

(55 citation statements)

References 17 publications

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“…Multiple reports from different countries have demonstrated the EuroSCORE to significantly overestimate operative mortality for AVR [10][11][12][13]. With this study, we confirm that the EuroSCORE overestimates operative mortality for AVR in the Dutch population as well.…”

Section: Survival Estimatessupporting

confidence: 83%

Long-term outcomes of isolated aortic valve replacement and concomitant AVR and coronary artery bypass grafting

et al. 2012

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Background It is well established that concomitant aortic valve replacement (AVR) and coronary artery bypass grafting (CABG) has a higher operative mortality rate than isolated AVR. However, studies report conflicting results on the long-term mortality. The aim of this prospective study was to explore and compare the outcomes and risk factors of isolated AVR and concomitant AVR and CABG in a consecutive Dutch patient population.

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Section: Survival Estimatessupporting

confidence: 83%

Long-term outcomes of isolated aortic valve replacement and concomitant AVR and coronary artery bypass grafting

et al. 2012

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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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“…The shortcomings of the currently available scoring systems have been demonstrated recently. 15,16 This indicates the strong need to develop and validate new scoring tools suitable for assessment of the risk of T-AVI patients. …”

Section: S126 Circulation September 13 2011mentioning

confidence: 99%

Transapical Aortic Valve Implantation

Kempfert¹,

Rastan²,

Holzhey³

et al. 2011

Circulation

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Background-Transapical aortic valve implantation has evolved to a reproducible therapeutic option for high-risk patients. Use of contrast dye (EE 104Ϯ78 mL, RE 93Ϯ46 mL) and the need to perform a balloon redilation were significantly reduced in the RE group. Thirty-day mortality decreased from 11.3% to 6.0%, and 1-year mortality improved significantly from 30.7% (EE) to 21.5% in the RE patients (Pϭ0.047).Multivariate logistic regression analysis revealed reduced vital capacity (Ͻ70%) and concomitant preoperative mitral regurgitation Ͼ1ϩ as the only independent predictors of 30-day mortality. Classic variables such as age, logistic EuroSCORE Ͼ30%, and STS score Ͼ15% failed to predict mortality. Conclusions-Recent results with transapical aortic valve implantation indicate a progressive improvement in outcomesdespite an unchanged patient risk profile, which reflects a significant learning curve that includes a better understanding of optimal patient selection. Classic surgical risk factors fail to predict outcome, which indicates the need for new transapical aortic valve implantation-specific risk scores. (Circulation. 2011;124[suppl 1]:S124 -S129.)

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EuroSCORE overestimates the risk of cardiac surgery: results from the national registry of the German Society of Thoracic and Cardiovascular Surgery

Abstract: The logistic EuroSCORE insufficiently evaluates the risk of the current patient population and therefore should be carefully used as a tool for important therapeutic decision-making.

Cited by 70 publications

References 17 publications

Long-term outcomes of isolated aortic valve replacement and concomitant AVR and coronary artery bypass grafting

Long-term outcomes of isolated aortic valve replacement and concomitant AVR and coronary artery bypass grafting

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

Transapical Aortic Valve Implantation

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