Vojvodinascore - local system for cardiac operative risk evaluation

Abstract

The additive and logistic European Systems for Cardiac Operative Risk Evaluation overestimate while the European System for Cardiac Operative Risk Evaluation II underestimates the risk in cardiac surgery. We believe that a locally derived model would be of great use in the everyday clinical practice since it would faithfully illustrate the actual state of patient population of the region where it was developed. At the same time it would provide the accurate prediction of surgical outcome.

Importance of integrated management system applied in health establishments in order to raise treatment quality

“…Some changes were made to improve the quality of treatment, which was followed by regular analysis of patient's satisfaction with treatment measures (Tables 1 and 2). As a result of evaluating the quality of cardiac surgery treatment, and within the set quality goals, the "Vojvodina Score" model for calculating operative risk in surgical patients from this area was created [8,9]. It has introduced some new input elements that characterize the operative cardiac surgery risk factors in these areas, which partly differ from the factors of operative cardiac surgery risk in other parts of the world.…”

Locally derived system for cardiac operative risk evaluation

“…Due to the known constraints of ready-made models and somewhat limited results in our population published in the previous papers [2,7,8,10], we have decided to create a local model. This endeavor has been implemented through support of the Provincial Secretariat for Science and Technological Development of the Autonomous Province of Vojvodina (Serbia) (Grant number 114-451-2131/2011).…”

“…In our previous paper, we advocated the development of self-made model for a number of reasons [2]. A self-made model can usually handle input data (specific patient profile, constraints and advantages of healthcare environment) more reliably yielding better risk estimation.…”