Prospective and Multicentric Validation of the ArgenSCORE in Aortic Valve Replacement Surgery. Comparison with the EuroSCORE I and the EuroSCORE II

Carosella, Victorio C.; Mastantuono, Christian; Golovonevsky, Valeria; Cohen, Valeria; Grancelli, Hugo; Rodríguez, Walter; Cárdenas, César; Nojek, Carlos

doi:10.7775/rac.v82.i1.3388

Cited by 6 publications

(7 citation statements)

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“…24 euroSCORE II values were extracted by graphs in the study by Chalmers and colleagues 9 and Howell and colleagues 14 or provided by mail for Wang and colleagues. 21 High-risk surgery was defined as logistic euroSCORE !10 by Howell and colleagues, 14 the highest tertile for Kunt and colleagues 12 and Carosella and colleagues, 25 the highest quintile for Qadir and colleagues 17 and Laurent and colleagues, 20 and predicted risk of mortality >10% by Osnabrugge and colleagues. 27 The 2 highest deciles were extracted for Kirmani and colleagues.…”

Section: Meta-regression Analysismentioning

confidence: 94%

“…When the 9 multicenter studies (112,799 patients) were analyzed, 3,10,14,15,[23][24][25][26][27] the discrimination remained preserved with an AUC of 0.786 (95% CI, 0.760-0.812) without deviation between observed and expected mortality: The O/E ratio was 0.925 (95% CI, 0.797-1.053), and O-E difference was À0.215 (95% CI, À0.602 to 0.172). The analysis of the 13 single-center studies [7][8][9][11][12][13][16][17][18][19][20][21][22] estimated an AUC of 0.801 (95% CI, 0.775-0.827), an O/E ratio of 1.146 (95% CI, 0.915-1.377), and an O-E difference of 0.517 (95% CI, À0.254 to 1.289).…”

Section: Sensitivity Analysismentioning

confidence: 99%

“…When nonelective surgery or patients at greater preoperative risk were analyzed as high risk, [12][13][14]17,20,[23][24][25]27,28 the euroSCORE II had a lower discrimination estimated by an AUC of 0.752 (95% CI, 0.676-0.828) and a nonsignificant underestimation of prediction: O/E ratio 1.253 (95% CI, 0.936-1.570) and O/E difference 1.859 (95% CI, À0.615 to 4.332).…”

Section: High-risk Proceduresmentioning

confidence: 99%

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Performance of the European System for Cardiac Operative Risk Evaluation II: A meta-analysis of 22 studies involving 145,592 cardiac surgery procedures

Guida

Mastro

Scrascia

et al. 2014

The Journal of Thoracic and Cardiovascular Surgery

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Section: Meta-regression Analysismentioning

confidence: 94%

Section: Sensitivity Analysismentioning

confidence: 99%

Section: High-risk Proceduresmentioning

confidence: 99%

See 1 more Smart Citation

Performance of the European System for Cardiac Operative Risk Evaluation II: A meta-analysis of 22 studies involving 145,592 cardiac surgery procedures

Guida

Mastro

Scrascia

et al. 2014

The Journal of Thoracic and Cardiovascular Surgery

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“…En el metaanálisis de Biancari, et al 4 , que evaluó exclusivamente el desempeño del EuroSCORE II en el reemplazo valvular aórtico, el área ROC hallada fue de 0.73. Por su parte, Carosella, et al 34 encontraron que un puntaje local, el ArgenSCORE, mostró un mejor poder discriminativo (área ROC = 0.82) que el EuroSCORE II (área ROC = 0.76), cuando compararon los resultados del reemplazo valvular aórtico quirúrgico. En un estudio publicado en 2011, el área ROC del ArgenSCORE fue de 0.80 (0.75-0.85) para todo tipo de cirugía, similar a la hallada en nuestro estudio actual basado en el EuroSCORE II y realizado casi una década después 35 .…”

Section: Discussionunclassified

Validación prospectiva multicéntrica del EuroSCORE II en Argentina

Borracci

Rubio

Baldi

et al. 2020

ACM

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Entre enero de 2012 y febrero de 2018 se incluyeron en forma prospectiva 2,000 pacientes consecutivos que fueron sometidos a cirugía cardíaca en diferentes centros de Argentina. El punto final fue mortalidad hospitalaria por cualquier causa. La discriminación, calibración, precisión y utilidad clínica del EuroSCORE II se evaluaron en la cohorte global y en los diferentes tipos de cirugías, basándose en las curvas Receiver Operating Characteristics (ROC), bondad de ajuste de Hosmer-Lemeshow, razón de mortalidad observada/esperada, índice de Shannon y curvas de decisión. Resultados: El área ROC del EuroSCORE II estuvo entre 0.73 y 0.80 para todo tipo de cirugía, y el valor más bajo fue para la cirugía coronaria. La mortalidad observada y esperada fue 4.3 y 3.0%, respectivamente (p = 0.034). El análisis de la curva de decisión demostró un beneficio neto positivo para los umbrales por debajo de 0.24 para todo tipo de cirugía. Conclusiones: El EuroSCORE II tuvo un desempeño adecuado en términos de discriminación y calibración para todos los tipos de cirugía, aunque algo inferior para la cirugía coronaria. Si bien en términos generales subestimó el riesgo en los grupos de riesgo intermedio, el comportamiento global fue aceptable. El EuroSCORE II podría considerarse una opción de modelo genérico y actualizado de estratificación del riesgo operatorio para predecir la mortalidad hospitalaria de la cirugía cardíaca en nuestro contexto.

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“…In the meta-analysis by Biancari et al 4 , which exclusively assessed EuroSCORE II performance in aortic valve replacement, the ROC area found was 0.73. On the other hand, Carosella et al 34 found that a local score, Argen-SCORE, showed a better discriminative power (ROC area = 0.82) than EuroSCORE II (ROC area = 0.76), when they compared surgical aortic valve replacement results. In a study published in 2011, the ArgenSCORE ROC area was 0.80 (0.75-0.85) for all types of surgery, similar to that found in our current study based on Eu-roSCORE II and carried out almost a decade later 35 .…”

Section: Discussionmentioning

confidence: 99%

Multicenter prospective validation of the European System for Cardiac Operative Risk Evaluation II in Argentina

Borracci¹,

Rubio²,

Baldi-Jr³

et al. 2020

ACME

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Objective: To validate prospectively in multiple centers, the accuracy and clinical utility of the European System for Cardiac Operative Risk Evaluation (EuroSCORE II) to predict the operative mortality of cardiac surgery in Argentina. Methods: Between January 2012 and February 2018, 2000 consecutive adult patients who underwent cardiac surgery in different centers in Argentina were prospectively included. The endpoint was in-hospital all-cause mortality. Discrimination, calibration, precision, and clinical utility of the EuroSCORE II were evaluated in the global cohort and in the different types of surgeries, based on receiver operating characteristics (ROC) curves, Hosmer-Lemeshow goodness-of-fit test, observed/expected mortality ratio, Shannon index, and decision curves analysis. Results: ROC area of the EuroSCORE II was between 0.73 and 0.80 for all types of surgery, being the lowest value for coronary surgery. The observed and expected mortality was 4.3% and 3.0%, respectively (p = 0.034). The decision curve analysis showed a positive net benefit for all thresholds below 0.24, considering all type of surgeries. Conclusions: The EuroSCORE II showed an adequate performance in terms of discrimination and calibration for all types of surgery, although somewhat inferior for coronary surgery. Although, in general terms, this model underestimated the risk in intermediate-risk groups, its overall performance was acceptable. The EuroSCORE II could be considered an optional updated generic model of operative risk stratification to predict in-hospital mortality after cardiac surgery in our context.

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Prospective and Multicentric Validation of the ArgenSCORE in Aortic Valve Replacement Surgery. Comparison with the EuroSCORE I and the EuroSCORE II

Cited by 6 publications

References 0 publications

Performance of the European System for Cardiac Operative Risk Evaluation II: A meta-analysis of 22 studies involving 145,592 cardiac surgery procedures

Performance of the European System for Cardiac Operative Risk Evaluation II: A meta-analysis of 22 studies involving 145,592 cardiac surgery procedures

Validación prospectiva multicéntrica del EuroSCORE II en Argentina

Multicenter prospective validation of the European System for Cardiac Operative Risk Evaluation II in Argentina

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