| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 2000;18:27-30
© 2000 Elsevier Science NL
Service de Chirurgie Cardio-vasculaire, CHU de Fort de France, 97200 Fort de France, Martinique, France
Received 8 September 1999; received in revised form 21 February 2000; accepted 29 February 2000.
Corresponding author. Tel.: +596 552271; fax: +596-758438
e-mail: f.r.fwi{at}wanadoo.fr
Objective: Because of national epidemiological differences in adult heart surgery in Europe, the effectiveness and desirability of a pan-European score for the assessment of quality of surgical care remains controversial. We assessed the predictive value of EuroSCORE in national subsets of the EuroSCORE database. Methods: The EuroSCORE development data set was divided into national subsets of which those with 500 or more patients were selected for analysis. The Hosmer–Lemeshow goodness-of-fit test was applied to assess the calibration of the EuroSCORE model on individual national samples and the areas under the receiver operating characteristic (ROC) curve were measured to analyse the EuroSCORE discriminative power on individual death prediction. Results: There were 18 676 patients in the six largest national samples: Germany, United Kingdom, Spain, Finland, France and Italy (mean: 3113 patients; range: Finland 1266 to France 4507). Major differences were observed in national distribution of procedures: coronary artery bypass grafting accounted for 77.7% of procedures in Finland but only 46.2% in Spain. The EuroSCORE model goodness-of-fit was satisfactory in all countries (P-value overall: 0.4; UK: 0.34; Finland: 0.87; no values less than 0.05). Areas under ROC curves were 0.81 in Germany, 0.79 in the UK, 0.74 in Spain, 0.87 in Finland, 0.82 in France and 0.82 in Italy. Conclusion: Despite epidemiological differences between European countries, the discriminative power of EuroSCORE was good in Spain and excellent in all other countries. The system, developed from a merged European database, can therefore be used to assess improvement in quality of care achieved by surgeons and institutions as well as for international European comparison in adult heart surgery.
Key Words: Hospital mortality • Epidemiology • Open heart surgery • Europe • Risk assessment
This article has been cited by other articles:
|
|
 |
|
  P. D'Errigo, F. Seccareccia, S. Rosato, V. Manno, G. Badoni, D. Fusco, C. A. Perucci, and the Research Group of the Italian CABG Outcome Pro Comparison between an empirically derived model and the EuroSCORE system in the evaluation of hospital performance: the example of the Italian CABG Outcome Project Eur. J. Cardiothorac. Surg., March 1, 2008; 33(3): 325 - 333. [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]
|
|
|
|
|
|
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]
|
|
|
|
 |
|
 O. Staudinger, H. Ostermann, G. Laufer, R. Schistek, B. Staudinger, and B. Tilg Evaluation of cardiac scoring models for an Austrian cardiac register Interactive CardioVascular and Thoracic Surgery, August 1, 2007; 6(4): 470 - 473. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y.-N. Youn, Y.-L. Kwak, and K.-J. Yoo Can the EuroSCORE Predict the Early and Mid-Term Mortality After Off-Pump Coronary Artery Bypass Grafting? Ann. Thorac. Surg., June 1, 2007; 83(6): 2111 - 2117. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Paul, A. Raz, L. Leibovici, H. Madar, R. Holinger, and B. Rubinovitch Sternal wound infection after coronary artery bypass graft surgery: Validation of existing risk scores J. Thorac. Cardiovasc. Surg., February 1, 2007; 133(2): 397 - 403. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B E Keogh Logistic, additive or historical: is EuroSCORE an appropriate model for comparing individual surgeons' performance? Heart, December 1, 2006; 92(12): 1715 - 1716. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. J. Ferreira-Gonzalez, A. Ribera, P. Cascant, G. Permanyer-Miralda, and for the ARCA study group Outcomes in off-pump vs. on-pump coronary artery bypass grafting stratified by pre-operative risk profile: an assessment using propensity score Eur. Heart J., October 2, 2006; 27(20): 2473 - 2480. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C.-J. Jakobsen, P. Torp, and E. Sloth Assessment of left ventricular ejection fraction may invalidate the reliability of EuroSCORE. Eur. J. Cardiothorac. Surg., June 1, 2006; 29(6): 978 - 982. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Newall, A. D. Grayson, A. Y. Oo, N. D. Palmer, W. C. Dihmis, A. Rashid, and R. H. Stables Preoperative White Blood Cell Count is Independently Associated With Higher Perioperative Cardiac Enzyme Release and Increased 1-Year Mortality After Coronary Artery Bypass Grafting Ann. Thorac. Surg., February 1, 2006; 81(2): 583 - 589. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Shanmugam, M. West, and G. Berg Additive and logistic EuroSCORE performance in high risk patients Interactive CardioVascular and Thoracic Surgery, August 1, 2005; 4(4): 299 - 303. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R De Maria, M Mazzoni, M Parolini, D Gregori, F Bortone, V Arena, and O Parodi Predictive value of EuroSCORE on long term outcome in cardiac surgery patients: a single institution study Heart, June 1, 2005; 91(6): 779 - 784. [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]
|
|
|
|
|
|
B. Zingone, A. Pappalardo, and L. Dreas Logistic versus additive EuroSCORE. A comparative assessment of the two models in an independent population sample Eur. J. Cardiothorac. Surg., December 1, 2004; 26(6): 1134 - 1140. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Nilsson, L. Algotsson, P. Hoglund, C. Luhrs, and J. Brandt EuroSCORE Predicts Intensive Care Unit Stay and Costs of Open Heart Surgery Ann. Thorac. Surg., November 1, 2004; 78(5): 1528 - 1534. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Karthik, A. K. Srinivasan, A. D. Grayson, M. Jackson, D. A.C. Sharpe, D. J.M. Keenan, B. Bridgewater, and B. M. Fabri Limitations of additive EuroSCORE for measuring risk stratified mortality in combined coronary and valve surgery{star} Eur. J. Cardiothorac. Surg., August 1, 2004; 26(2): 318 - 322. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Gogbashian, A. Sedrakyan, and T. Treasure EuroSCORE: a systematic review of international performance Eur. J. Cardiothorac. Surg., May 1, 2004; 25(5): 695 - 700. [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]
|
|
|
|
 |
|
 B. Bridgewater, A. D Grayson, M. Jackson, N. Brooks, G. J Grotte, D. J M Keenan, R. Millner, B. M Fabri, and M. Jones Surgeon specific mortality in adult cardiac surgery: comparison between crude and risk stratified data BMJ, July 3, 2003; 327(7405): 13 - 17. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Michel, F. Roques, S. A.M. Nashef, and The EuroSCORE Project Group Logistic or additive EuroSCORE for high-risk patients? Eur. J. Cardiothorac. Surg., May 1, 2003; 23(5): 684 - 687. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Calafiore, M. Di Mauro, C. Canosa, G. Di Giammarco, A. L. Iaco, and M. Contini Early and late outcome of myocardial revascularization with and without cardiopulmonary bypass in high risk patients (EuroSCORE>=6) Eur. J. Cardiothorac. Surg., March 1, 2003; 23(3): 360 - 367. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. A.M. Nashef, F. Roques, B. G. Hammill, E. D. Peterson, P. Michel, F. L. Grover, R. K.H. Wyse, and T. B. Ferguson Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery Eur. J. Cardiothorac. Surg., July 1, 2002; 22(1): 101 - 105. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Pinna-Pintor, M. Bobbio, S. Colangelo, F. Veglia, M. Giammaria, D. Cuni, F. Maisano, and O. Alfieri Inaccuracy of four coronary surgery risk-adjusted models to predict mortality in individual patients Eur. J. Cardiothorac. Surg., February 1, 2002; 21(2): 199 - 204. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Sergeant, E. de Worm, and B. Meyns Single centre, single domain validation of the EuroSCORE on a consecutive sample of primary and repeat CABG Eur. J. Cardiothorac. Surg., December 1, 2001; 20(6): 1176 - 1182. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Kawachi, A. Nakashima, Y. Toshima, K. Arinaga, and H. Kawano Risk stratification analysis of operative mortality in heart and thoracic aorta surgery: comparison between Parsonnet and EuroSCORE additive model Eur. J. Cardiothorac. Surg., November 1, 2001; 20(5): 961 - 966. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Sergeant, E. de Worm, B. Meyns, and P. Wouters The challenge of departmental quality control in the reengineering towards off-pump coronary artery bypass grafting Eur. J. Cardiothorac. Surg., September 1, 2001; 20(3): 538 - 543. [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 |
