Validation for EuroSCORE II in the Indonesian cardiac surgical population: a retrospective, multicenter study

Kurniawaty, Juni; Setianto, Budi Yuli; Widyastuti, Yunita; Supomo, Supomo; Boom, Cindy Elfira; Ancilla, Cornelia

doi:10.1080/14779072.2022.2078703

Cited by 2 publications

(6 citation statements)

References 23 publications

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“…19 A multicenter study in Indonesia in 2022 also found similar results (11.3% vs 1.28%). 20 It can be concluded from the studies that in Indonesia, the actual mortality rate tends to be higher than what EuroSCORE II predicted. Studies in Indonesia, including this study, agree that EuroSCORE II underestimates the mortality of CABG patients in Indonesia.…”

Section: Discussionmentioning

confidence: 92%

“…Studies in Indonesia, including this study, agree that EuroSCORE II underestimates the mortality of CABG patients in Indonesia. 19,20 This underestimation may occur due to the absence of representation from the Indonesian population when determining indicators of EuroSCORE II. 11 There were only 8 Asian countries out of the 43 countries involved, and none of them are from Southeast Asia.…”

Section: Discussionmentioning

confidence: 99%

“…11 There were only 8 Asian countries out of the 43 countries involved, and none of them are from Southeast Asia. 11,20 Other studies in Asia have the same consideration, seeing the lack of representation of Asian races in the development of EuroSCORE II. [21][22][23] Although both were conducted in Indonesia, the multicenter study by Kurniawaty, et al (2022) found that EuroSCORE II had poor calibration for the Indonesian population, whereas Sembiring, et al (2021) found otherwise.…”

Section: Discussionmentioning

confidence: 99%

“…11,20 Other studies in Asia have the same consideration, seeing the lack of representation of Asian races in the development of EuroSCORE II. [21][22][23] Although both were conducted in Indonesia, the multicenter study by Kurniawaty, et al (2022) found that EuroSCORE II had poor calibration for the Indonesian population, whereas Sembiring, et al (2021) found otherwise. 19,20 Due to the limited research related to the validation of EuroSCORE II in Indonesia, it is certainly not possible to conclude whether or not this scoring system is suitable to be applied in Indonesia.…”

Section: Discussionmentioning

confidence: 99%

“…[21][22][23] Although both were conducted in Indonesia, the multicenter study by Kurniawaty, et al (2022) found that EuroSCORE II had poor calibration for the Indonesian population, whereas Sembiring, et al (2021) found otherwise. 19,20 Due to the limited research related to the validation of EuroSCORE II in Indonesia, it is certainly not possible to conclude whether or not this scoring system is suitable to be applied in Indonesia. Singapore and China have even proposed separate scoring systems for Asian populations, such as the Asian System for Cardiac Operative Risk Evaluation (ASCORE-C) and the Sino System for Coronary Operative Risk Evaluation (SinoSCORE), based on the characteristics of their countries.…”

Section: Discussionmentioning

confidence: 99%

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Success Rate of Coronary Artery Bypass Grafting on Elderly Patients in Dr. Soetomo General Academic Hospital, Surabaya

Tombokan,

Sembiring,

Dharmadjati

et al. 2024

JUXTA

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Highlights: CABG is the most performed cardiac surgery in Indonesia, and most patients undergoing this surgery are above 60 years old. CABG success rate is not significantly influenced solely by the patient’s age but also by several perioperative characteristics such as gender, comorbidities, and other variables included in the calculation of EuroSCORE II. Abstract Introduction: Coronary artery disease (CAD) causes more than a quarter of deaths in Indonesia and is found to be more prevalent in the elderly (≥60 years old). Treatment includes coronary artery bypass grafting (CABG), the most-performed cardiac surgery in Indonesia. This study aimed to determine the short-term and one-year postoperative success, morbidity, and mortality rates with their causes in Dr. Soetomo General Academic Hospital, Surabaya. Methods: This was a cross-sectional retrospective study using secondary data obtained from 85 medical records of CABG patients aged ≥60 years old in the Department of Thoracic, Cardiac, and Vascular Surgery, Dr. Soetomo General Academic Hospital, Surabaya, from January 2018 to December 2020. Aside from descriptive statistics, logistic regression was conducted to assess the relationship between EuroSCORE II and the success of CABG in elderly patients. Results: Patients were mostly male in their sixties with a mean of 65.5 ± 4.9 years old, had three-vessel disease, and had a predicted mortality rate of 1.6%. The average number of grafts used was 3.3 ± 0.7, and the average length of hospital stay was 7.4 ± 2.4 days. The morbidity rate was 71.8%, with bleeding as the most common complication, a 17.6% mortality rate with septic shock as the most frequent cause, and a success rate of 82.4% (short-term) and 80% (one-year postoperative). Higher EuroSCORE II was found to significantly decrease the probability of both short-term and one-year postoperative success. Conclusion: The success rates of CABG in Dr. Soetomo General Academic Hospital, Surabaya, were 82.4% (short-term) and 80% (one-year postoperative), negatively correlated with EuroSCORE II.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Success Rate of Coronary Artery Bypass Grafting on Elderly Patients in Dr. Soetomo General Academic Hospital, Surabaya

Tombokan,

Sembiring,

Dharmadjati

et al. 2024

JUXTA

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Risk stratification model in predicting mortality among adult cardiac surgery patients and its application in Indonesia: A review

Ali Mustofa,

Yan Efrata Sembiring,

Pandit Bagus Tri Saputra

2023

World J. Adv. Res. Rev.

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Risk stratification models have become an important tool for predicting mortality among adult cardiac surgery patients. These models provide clinicians with valuable information to guide decision-making and improve patient outcomes. While various models have been developed and validated globally, their application in the Indonesian context has gained attention. This study aims to examine the use of risk stratification models in predicting mortality among adult cardiac surgery patients in Indonesia. Several validated models, including EuroSCORE II, have shown good calibration and discriminative ability in the Indonesian population. EuroSCORE II, in particular, stands out for its efficient use of variables and the ability to predict mortality across different types of cardiac surgeries. However, it is essential to consider other risk stratification models that offer specific strengths and applications relevant to the Indonesian setting. The implementation of these models can greatly assist clinicians in assessing surgical risks, making informed decisions, and optimizing patient care. To further enhance the application of risk stratification models in Indonesia, additional validation studies specific to the Indonesian population are warranted. Furthermore, the establishment of a comprehensive patient database containing cardiac surgery information in Indonesia would facilitate ongoing research and improve the accuracy of model validation. In conclusion, risk stratification models play a crucial role in predicting mortality among adult cardiac surgery patients. Their application in Indonesia shows promising results, particularly with EuroSCORE II. However, further research, validation, and the development of a comprehensive patient database are needed to maximize the effectiveness and applicability of these models in the Indonesian context.

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Validation for EuroSCORE II in the Indonesian cardiac surgical population: a retrospective, multicenter study

Cited by 2 publications

References 23 publications

Success Rate of Coronary Artery Bypass Grafting on Elderly Patients in Dr. Soetomo General Academic Hospital, Surabaya

Success Rate of Coronary Artery Bypass Grafting on Elderly Patients in Dr. Soetomo General Academic Hospital, Surabaya

Risk stratification model in predicting mortality among adult cardiac surgery patients and its application in Indonesia: A review

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