| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 2000;17:400-406
© 2000 Elsevier Science NL
Department of Cardiothoracic Surgery, University of Cologne, Joseph-Stelzmann-Strasse 9, 50924 Cologne, Germany
Corresponding author. Tel.: +49-221-478-4128; fax: +49-221-478-4186
e-mail: hans.geissler{at}medizin.uni-koeln.de
Objective: Risk scores have become an important tool in patient assessment, as age, severity of heart disease, and comorbidity in patients undergoing heart surgery have considerably increased. Various risk scores have been developed to predict mortality after heart surgery. However, there are significant differences between scores with regard to score design and the initial patient population on which score development was based. It was the purpose of our study to compare six commonly used risk scores with regard to their validity in our patient population. Methods: Between September 1, 1998 and February 28, 1999, all adult patients undergoing heart surgery with cardiopulmonary bypass in our institution were preoperatively scored using the initial Parsonnet, Cleveland Clinic, French, Euro, Pons, and Ontario Province Risk (OPR) scores. Postoperatively, we registered 30-day mortality, use of mechanical assist devices, renal failure requiring hemodialysis or hemofiltration, stroke, myocardial infarction, and duration of ventilation and intensive care stay. Score validity was assessed by calculating the area under the ROC curve. Odds ratios were calculated to investigate the predictive relevance of risk factors. Results: Follow-up was able to be completed in 504 prospectively scored patients. Receiver operating characteristics (ROC) curve analysis for mortality showed the best predictive value for the Euro score. Predictive values for morbidity were considerably lower than predictive values for mortality in all of the investigated score systems. For most risk factors, odds ratios for mortality were substantially different from ratios for morbidity. Conclusions: Among the investigated scores, the Euro score yielded the highest predictive value in our patient population. For most risk factors, predictive values for morbidity were substantially different from predictive values for mortality. Therefore, development of specific morbidity risk scores may improve prediction of outcome and hospital cost. Due to the heterogeneity of morbidity events, future score systems may have to generate separate predictions for mortality and major morbidity events.
Key Words: Cardiac surgery • Mortality • Morbidity • Risk score • Risk factor
This article has been cited by other articles:
|
|
 |
|
  P. Loponen, M. Luther, J. Nissinen, J.-O. Wistbacka, F. Biancari, J. Laurikka, H. Sintonen, and M. R. Tarkka EuroSCORE predicts health-related quality of life after coronary artery bypass grafting Interactive CardioVascular and Thoracic Surgery, August 1, 2008; 7(4): 564 - 568. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. T.L. Chiam and C. E. Ruiz Percutaneous Transcatheter Aortic Valve Implantation: Assessing Results, Judging Outcomes, and Planning Trials: The Interventionalist Perspective J. Am. Coll. Cardiol. Intv., August 1, 2008; 1(4): 341 - 350. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Sodeck, H. Domanovits, M. Schillinger, K. Janata, M. Thalmann, M. P. Ehrlich, G. Endler, and A. Laggner Pre-operative N-terminal pro-brain natriuretic peptide predicts outcome in type A aortic dissection. J. Am. Coll. Cardiol., March 18, 2008; 51(11): 1092 - 1097. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. T. Bickert, C. Gallagher, A. Reiner, W. J. Hager, and M. M. Stecker Nursing Neurologic Assessments After Cardiac Operations Ann. Thorac. Surg., February 1, 2008; 85(2): 554 - 560. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Z. Colak, I. Segotic, S. Uzun, M. Mazar, V. Ivancan, and V. Majeric-Kogler Health related quality of life following cardiac surgery correlation with EuroSCORE Eur. J. Cardiothorac. Surg., January 1, 2008; 33(1): 72 - 76. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A. Grossi, C. F. Schwartz, P.-J. Yu, U. P. Jorde, G. A. Crooke, J. B. Grau, G. H. Ribakove, F. G. Baumann, P. Ursumanno, A. T. Culliford, et al. High-Risk Aortic Valve Replacement: Are the Outcomes as Bad as Predicted? Ann. Thorac. Surg., January 1, 2008; 85(1): 102 - 107. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. M. Dewey, D. Brown, W. H. Ryan, M. A. Herbert, S. L. Prince, and M. J. Mack Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement J. Thorac. Cardiovasc. Surg., January 1, 2008; 135(1): 180 - 187. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Mestres, M. A. Castro, E. Bernabeu, M. Josa, R. Cartana, J. L. Pomar, J. M. Miro, J. Mulet, and the Hospital Clinico Endocarditis Study Group Preoperative risk stratification in infective endocarditis. Does the EuroSCORE model work? Preliminary results Eur. J. Cardiothorac. Surg., August 1, 2007; 32(2): 281 - 285. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. L. Hannan, C. Wu, E. V. Bennett, R. E. Carlson, A. T. Culliford, J. P. Gold, R. S.D. Higgins, C. R. Smith, and R. H. Jones Risk Index for Predicting In-Hospital Mortality for Cardiac Valve Surgery Ann. Thorac. Surg., March 1, 2007; 83(3): 921 - 929. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Haverich, S. K. Shernan, J. H. Levy, J. C. Chen, M. Carrier, K. M. Taylor, F. Van de Werf, M. F. Newman, P. X. Adams, T. G. Todaro, et al. Pexelizumab Reduces Death and Myocardial Infarction in Higher Risk Cardiac Surgical Patients Ann. Thorac. Surg., August 1, 2006; 82(2): 486 - 492. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Biancari, O.-P. Kangasniemi, J. Luukkonen, S. Vuorisalo, J. Satta, R. Pokela, and T. Juvonen EuroSCORE predicts immediate and late outcome after coronary artery bypass surgery. Ann. Thorac. Surg., July 1, 2006; 82(1): 57 - 61. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Matsuura, H. Ogino, H. Matsuda, K. Minatoya, H. Sasaki, T. Yagihara, and S. Kitamura Limitations of EuroSCORE for Measurement of Risk-Stratified Mortality in Aortic Arch Surgery Using Selective Cerebral Perfusion: Is Advanced Age No Longer a Risk? Ann. Thorac. Surg., June 1, 2006; 81(6): 2084 - 2087. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C.-H. Yap, C. Reid, M. Yii, M. A. Rowland, M. Mohajeri, P. D. Skillington, S. Seevanayagam, and J. A. Smith Validation of the EuroSCORE model in Australia. Eur. J. Cardiothorac. Surg., April 1, 2006; 29(4): 441 - 446. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Gersbach, H. Tevaearai, J.-P. Revelly, P. Bize, R. Chiolero, and L. K. von Segesser Are there accurate predictors of long-term vital and functional outcomes in cardiac surgical patients requiring prolonged intensive care? Eur. J. Cardiothorac. Surg., April 1, 2006; 29(4): 466 - 472. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Nilsson, L. Algotsson, P. Hoglund, C. Luhrs, and J. Brandt Comparison of 19 pre-operative risk stratification models in open-heart surgery Eur. Heart J., April 1, 2006; 27(7): 867 - 874. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Kolh Importance of risk stratification models in cardiac surgery Eur. Heart J., April 1, 2006; 27(7): 768 - 769. [Full Text] [PDF]
|
|
|
|
|
|
E. L. Hannan, C. Wu, E. V. Bennett, R. E. Carlson, A. T. Culliford, J. P. Gold, R. S.D. Higgins, O. W. Isom, C. R. Smith, and R. H. Jones Risk Stratification of In-Hospital Mortality for Coronary Artery Bypass Graft Surgery J. Am. Coll. Cardiol., February 7, 2006; 47(3): 661 - 668. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.-Y. Dupuis Clinical Predictions and Decisions to Perform Cardiac Surgery on High-Risk Patients Seminars in Cardiothoracic and Vascular Anesthesia, June 1, 2005; 9(2): 179 - 186. [Abstract] [PDF]
|
|
|
|
|
|
I. K. Toumpoulis, C. E. Anagnostopoulos, S. K. Toumpoulis, J. J. DeRose Jr, and D. G. Swistel EuroSCORE Predicts Long-Term Mortality After Heart Valve Surgery Ann. Thorac. Surg., June 1, 2005; 79(6): 1902 - 1908. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Onorati, M. D. Feo, P. Mastroroberto, A. d. Virgilio, A. Esposito, M. Polistena, A. Renzulli, and M. Cotrufo Unstable angina and non-ST segment elevation: surgical revascularization with different strategies Eur. J. Cardiothorac. Surg., June 1, 2005; 27(6): 1043 - 1050. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Thielmann, P. Massoudy, M. Neuhauser, S. Knipp, M. Kamler, G. Marggraf, J. Piotrowski, and H. Jakob Risk stratification with cardiac troponin I in patients undergoing elective coronary artery bypass surgery Eur. J. Cardiothorac. Surg., May 1, 2005; 27(5): 861 - 869. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. K. Toumpoulis, C. E. Anagnostopoulos, D. G. Swistel, and J. J. DeRose Jr Does EuroSCORE predict length of stay and specific postoperative complications after cardiac surgery? Eur. J. Cardiothorac. Surg., January 1, 2005; 27(1): 128 - 133. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Ishikawa, T. Koyano, T. Takahashi, Y. Sato, Y. Hasegawa, S. Ohki, K. Oshima, S. Oki, F. Kunimoto, and Y. Morishita What Influences the Results in Critical Patients After Cardiovascular Surgery? Asian Cardiovasc Thorac Ann, September 1, 2004; 12(3): 250 - 253. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Nilsson, L. Algotsson, P. Hoglund, C. Luhrs, and J. Brandt Early mortality in coronary bypass surgery: the EuroSCORE versus The Society of Thoracic Surgeons risk algorithm Ann. Thorac. Surg., April 1, 2004; 77(4): 1235 - 1239. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Ugolini and L. Nobilio Risk adjustment for coronary artery bypass graft surgery: an administrative approach versus EuroSCORE Int. J. Qual. Health Care, April 1, 2004; 16(2): 157 - 164. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. K. Toumpoulis, C. E. Anagnostopoulos, J. J. DeRose, and D. G. Swistel European system for cardiac operative risk evaluation predicts long-term survival in patients with coronary artery bypass grafting Eur. J. Cardiothorac. Surg., January 1, 2004; 25(1): 51 - 58. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. V.H.P. Huijskes, P. M.J. Rosseel, and J. G.P. Tijssen Outcome prediction in coronary artery bypass grafting and valve surgery in the Netherlands: development of the Amphiascore and its comparison with the Euroscore Eur. J. Cardiothorac. Surg., November 1, 2003; 24(5): 741 - 749. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Karthik, G. Musleh, A. D. Grayson, D. J.M. Keenan, R. Hasan, D. M. Pullan, W. C. Dihmis, and B. M. Fabri Effect of avoiding cardiopulmonary bypass in non-elective coronary artery bypass surgery: a propensity score analysis Eur. J. Cardiothorac. Surg., July 1, 2003; 24(1): 66 - 71. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Asimakopoulos, S. Al-Ruzzeh, G. Ambler, R.Z. Omar, P. Punjabi, M. Amrani, and K.M. Taylor An evaluation of existing risk stratification models as a tool for comparison of surgical performances for coronary artery bypass grafting between institutions Eur. J. Cardiothorac. Surg., June 1, 2003; 23(6): 935 - 942. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Aybek, P. Kessler, M. F. Khan, S. Dogan, G. Neidhart, A. Moritz, and G. Wimmer-Greinecker Operative techniques in awake coronary artery bypass grafting J. Thorac. Cardiovasc. Surg., June 1, 2003; 125(6): 1394 - 1400. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F Roques, P Michel, A.R Goldstone, and S.A.M Nashef The logistic EuroSCORE Eur. Heart J., May 1, 2003; 24(9): 882 - 882. [Full Text] [PDF]
|
|
|
|
|
|
T. Aybek, P. Kessler, S. Dogan, G. Neidhart, M. F. Khan, G. Wimmer-Greinecker, and A. Moritz Awake coronary artery bypass grafting: utopia or reality? Ann. Thorac. Surg., April 1, 2003; 75(4): 1165 - 1170. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. H. Hulzebos, N. L. Van Meeteren, R. A De Bie, P. C Dagnelie, and P. J. Helders Prediction of Postoperative Pulmonary Complications on the Basis of Preoperative Risk Factors in Patients Who Had Undergone Coronary Artery Bypass Graft Surgery Physical Therapy, January 1, 2003; 83(1): 8 - 16. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Albes, M. Gross, U. Franke, J. Wippermann, T. U. Cohnert, R. Vollandt, and T. Wahlers Revascularization during acute myocardial infarction: risks and benefits revisited Ann. Thorac. Surg., July 1, 2002; 74(1): 102 - 108. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. S. Kurki, O. Jarvinen, M. J. Kataja, J. Laurikka, and M. Tarkka Performance of three preoperative risk indices; CABDEAL, EuroSCORE and Cleveland models in a prospective coronary bypass database Eur. J. Cardiothorac. Surg., March 1, 2002; 21(3): 406 - 410. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T.S. Kurki, U. Hakkinen, J. Lauharanta, J. Ramo, and M. Leijala Evaluation of the relationship between preoperative risk scores, postoperative and total length of stays and hospital costs in coronary bypass surgery Eur. J. Cardiothorac. Surg., December 1, 2001; 20(6): 1183 - 1187. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Birjiniuk Patient outcomes in the assessment of myocardial injury following cardiac surgery Ann. Thorac. Surg., December 1, 2001; 72(6): S2208 - 2212. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Schmitz and E. H. Blackstone International Council of Emboli Management (ICEM) Study Group results: risk adjusted outcomes in intraaortic filtration Eur. J. Cardiothorac. Surg., November 1, 2001; 20(5): 986 - 991. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
