The easier, the better: Age, creatinine, ejection fraction score for operative mortality risk stratification in a series of 29,659 patients undergoing elective cardiac surgery

Ranucci, Marco; Castelvecchio, Serenella; Conte, Massimiliano; Megliola, Gianluigi; Saglio, Giuseppe; Fiore, Flavio; Guarracino, Fabio; Scolletta, Sabino; Escobar, Ricardo; Falco, M; Bignami, Elena; Landoni, Giovanni

doi:10.1016/j.jtcvs.2010.11.064

Cited by 74 publications

(58 citation statements)

References 19 publications

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“…Based on the ‘law of parsimony’ or ‘the Ockham razor’ concept, whereby a simple model can explain a phenomenon with the same level of accuracy as complex models, ACEF was shown to be least comparable to the EuroSCORE (composed of 17 variables)24 25 in predicting in-hospital mortality after CABG 22 23…”

Section: Augmenting the Anatomical Syntax Score With Clinical Factorsmentioning

confidence: 99%

Widening clinical applications of the SYNTAX Score

Farooq

Head

Kappetein

et al. 2013

Heart

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The SYNTAX Score (http://www.syntaxscore.com) has established itself as an anatomical based tool for objectively determining the complexity of coronary artery disease and guiding decision-making between coronary artery bypass graft (CABG) surgery and percutaneous coronary intervention (PCI). Since the landmark SYNTAX (Synergy between PCI with Taxus and Cardiac Surgery) Trial comparing CABG with PCI in patients with complex coronary artery disease (unprotected left main or de novo three vessel disease), numerous validation studies have confirmed the clinical validity of the SYNTAX Score for identifying higher-risk subjects and aiding decision-making between CABG and PCI in a broad range of patient types. The SYNTAX Score is now advocated in both the European and US revascularisation guidelines for decision-making between CABG and PCI as part of a SYNTAX-pioneered heart team approach. Since establishment of the SYNTAX Score, widening clinical applications of this clinical tool have emerged. The purpose of this review is to systematically examine the widening applications of tools based on the SYNTAX Score: (1) by improving the diagnostic accuracy of the SYNTAX Score by adding a functional assessment of lesions; (2) through amalgamation of the anatomical SYNTAX Score with clinical variables to enhance decision-making between CABG and PCI, culminating in the development and validation of the SYNTAX Score II, in which objective and tailored decisions can be made for the individual patient; (3) through assessment of completeness of revascularisation using the residual and post-CABG SYNTAX Scores for PCI and CABG patients, respectively. Finally, the future direction of the SYNTAX Score is covered through discussion of the ongoing development of a non-invasive, functional SYNTAX Score and review of current and planned clinical trials.

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Section: Augmenting the Anatomical Syntax Score With Clinical Factorsmentioning

confidence: 99%

Widening clinical applications of the SYNTAX Score

Farooq

Head

Kappetein

et al. 2013

Heart

View full text Add to dashboard Cite

show abstract

“…The ACEF score was previously demonstrated by internal validation to have better global performance than more complex mortality scores, and even a large external validation study demonstrated that the ACEF score has noninferior accuracy and better clinical performance with respect to the additive and logistic euroSCORE. 9 Risk estimation in cardiac surgery is an evolving issue. Several questions have not been yet addressed, and new advances in techniques and perioperative care are moving the attention from the general population toward specific subgroups of patients.…”

Section: Discussionmentioning

confidence: 99%

Reliability of new scores in predicting perioperative mortality after mitral valve surgery

Barili

Pacini

Grossi

et al. 2014

The Journal of Thoracic and Cardiovascular Surgery

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“…At the time, Tu et al [40], and, currently, Ranucci et al [41] tested this proposition (PANEL Group) and concluded that simpler models containing only essential variables not only would reduce the risk of juxtaposition, multicollinearity, and human error, but would also be cheaper than complex models. That is the explanation for dropping the number of variables collected per patient for EuroScore and EuroScore II, from 97 to 29, respectively.…”

Section: Discussionmentioning

confidence: 99%

Heart surgery programs innovation using surgical risk stratification at the São Paulo State Public Healthcare System: SP-SCORE-SUS STUDY

Mejía¹,

Lisboa²,

Dallan³

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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The easier, the better: Age, creatinine, ejection fraction score for operative mortality risk stratification in a series of 29,659 patients undergoing elective cardiac surgery

Abstract: The age, creatinine, ejection fraction score provides an accuracy level comparable to that of the European System for Cardiac Operative Risk Evaluation, with far superior clinical performance.

Cited by 74 publications

References 19 publications

Widening clinical applications of the SYNTAX Score

Widening clinical applications of the SYNTAX Score

Reliability of new scores in predicting perioperative mortality after mitral valve surgery

Heart surgery programs innovation using surgical risk stratification at the São Paulo State Public Healthcare System: SP-SCORE-SUS STUDY

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