Validation and quality measurements for EuroSCORE and EuroSCORE II in the Spanish cardiac surgical population: a prospective, multicentre study

García-Valentín, Antonio; Mestres, Carlos A.; Bernabeu, Eduardo; Bahamonde, José A.; Martín, Iván; Rueda, Cristina; Domenech, Alberto; Valencia, J Avina; Fletcher, Delfina; Machado, Facundo; Amores, José

doi:10.1093/ejcts/ezv090

Cited by 45 publications

(37 citation statements)

References 17 publications

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“…El SAPS III predijo una mortalidad del 12,08%, el doble de la mortalidad que se observó, es decir, que su predicción no se ajusta nada con la realidad. Se han obtenido resultados muy similares en otros estudios realizados en España, obteniendo sobrestimación del Euroscore I e infraestimación del Euroscore II, aunque en este caso los resultados observados eran mas parecidos a los obtenidos por el Euroscore II ( mortalidad real 6,5%, mortalidad predicha por Euroscore I 9,8 %, mortalidad predicha por el Euroscore II 5,7%) 242,258,259 . Hemos encontrados resultados muy similares en múltiples publicaciones de todo el mundo 244,247,252,255,274,281 .…”

Section: Discussionunclassified

Valoración del Euroscore y SAPS III como predictor de mortalidad hospitalaria en el postoperatorio de cirugía cardiaca

Mateos-Pañero

Sánchez-Casado

Castaño-Moreira

et al. 2017

Revista Española de Anestesiología y Reanimación

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Section: Discussionunclassified

Valoración del Euroscore y SAPS III como predictor de mortalidad hospitalaria en el postoperatorio de cirugía cardiaca

Mateos-Pañero

Sánchez-Casado

Castaño-Moreira

et al. 2017

Revista Española de Anestesiología y Reanimación

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“…Many predictive models have been proposed and used for cardiac surgery. The most widely used currently are the score of the STS (Society of Thoracic Surgeons), the main score applied in North America, and EuroSCORE (European System for Cardiac Operative Risk Evaluation), which is the most used model in Europe …”

Section: Introductionmentioning

confidence: 99%

“…The most widely used currently are the score of the STS (Society of Thoracic Surgeons), the main score applied in North America, and EuroSCORE (European System for Cardiac Operative Risk Evaluation), which is the most used model in Europe. 4 The EuroSCORE II, published in 2012, was developed on a database of 154 centers in 43 predominantly European countries, 5 it must be tested and validated in developing countries such as Tunisia before being used as a model risk stratification and serve as information for the patient seeking care or as an element of monitoring and evaluation of cardiac surgery services.…”

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confidence: 99%

External validation of the European System for Cardiac Operative Risk Evaluation II in a Tunisian population

et al. 2019

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Objective The main objective of this study is to evaluate the performance of the predictive model (EuroSCORE II) on a Tunisian population to validate its use in our country. Methods This is a retrospective study of data from 418 adult patients undergoing cardiac surgery with cardiopulmonary bypass between 1 January 2015 and 31 December 2016 in the department of cardiovascular and thoracic surgery of the Sahloul University Hospital of Sousse. The EuroSCORE ΙΙ is calculated using the application validated on the site http://www.euroscore.org. The performance of the score is evaluated by analyzing its discriminative power by constructing the receiver operating characteristic (ROC) curve and analyzing its calibration using the Hosmer‐Lemeshow statistics. Results The EuroSCORE II shows good discriminative power in our population with an area under the ROC curve more than 0.7 in all study groups (0.864 ± 0.032 for general cardiac surgery, 0.822 ± 0.061 for coronary surgery, 0.864 ± 0.052 for valvular surgery, and 0.900 ± 0.041 for urgent cardiac surgery). The model appears to be calibrated as well by obtaining P values above the statistical significance level of 0.05 (0.638 for general cardiac surgery, 0.543 for coronary surgery, 0.179 for valvular surgery, and 0.082 for urgent cardiac surgery). Conclusion The EuroSCORE II presents acceptable performance in our population, attested by a good discriminative power and an adequate calibration.

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“…Previous studies only evaluated the predictive capacity of these risk evaluation systems among different operations and had rarely evaluated the ability to predict mortality among different age groups [8][9][10][11][12]. Therefore, our study attempts to analyze the predictive capacity of the three risk evaluation systems for patients aged ≥70 who were treated with isolated CABG operation in East China.…”

Section: Introductionmentioning

confidence: 99%

Peer Review #1 of "Assessment of three risk evaluation systems for patients aged ≥70 in East China: performance of SinoSCORE, EuroSCORE II and the STS risk evaluation system (v0.1)"

2018

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Objectives:To assess and compare the predictive ability of three risk evaluation systems (SinoSCORE, EuroSCORE II and STS risk evaluation system) in patients aged≥70 , and who underwent coronary artery bypass grafting (CABG) in East China.Methods: Three risk evaluation systems were applied to 1946 consecutive patients who underwent isolated CABG from January 2004 to September 2016 in two hospitals. Patients were divided into two subsets according to their age: elderly group (age≥70) with a younger group (age<70) used for comparison. The outcome of interest in this study was in-hospital mortality. The entire cohort and subsets of patients were analyzed. The calibration and discrimination in total and in subsets were assessed by the Hosmer-Lemeshow and the C statistics respectively. Results: Institutional overall mortality was 2.52%. The expected mortality rates of SinoSCORE, EuroSCORE II and STS risk evaluation system were 0.78(0.64)%, 1.43(1.14)% and 0.78(0.77)%, respectively. SinoSCORE achieved the best discrimination (the area under the receiver operating characteristic curve (AUC) =0.829), followed by STS risk evaluation system (AUC=0.790) and EuroSCORE II (AUC=0.769) in the entire cohort. In the elderly group, the observed mortality rate was 4.82% while it was 1.38% in the younger group. SinoSCORE (AUC=0.829) also achieved the best discrimination in the elderly group, followed by STS risk evaluation system (AUC=0.730) and EuroSCORE II (AUC=0.640) while all three risk evaluation systems all had good performances in the younger group. SinoSCORE, EuroSCORE II and STS risk evaluation system all achieved positive calibrations in the entire cohort and subsets. Conclusion: The performance of the PeerJ reviewing PDF | Manuscript to be reviewed three risk evaluation systems was not ideal in the entire cohort. In the elderly group, SinoSCORE appeared to achieve better predictive efficiency than EuroSCORE II and STS risk evaluation system.PeerJ reviewing PDF |

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Validation and quality measurements for EuroSCORE and EuroSCORE II in the Spanish cardiac surgical population: a prospective, multicentre study

Cited by 45 publications

References 17 publications

Valoración del Euroscore y SAPS III como predictor de mortalidad hospitalaria en el postoperatorio de cirugía cardiaca

Valoración del Euroscore y SAPS III como predictor de mortalidad hospitalaria en el postoperatorio de cirugía cardiaca

External validation of the European System for Cardiac Operative Risk Evaluation II in a Tunisian population

Peer Review #1 of "Assessment of three risk evaluation systems for patients aged ≥70 in East China: performance of SinoSCORE, EuroSCORE II and the STS risk evaluation system (v0.1)"

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