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Eur J Cardiothorac Surg 2002;22:101-105
© 2002 Elsevier Science NL
a Cardiothoracic Surgical Unit, Papworth Hospital, Papworth Everard, Cambridge CB3 8RE, UK
b CHU Fort-de-France, Martinique, France
c Dukes Clinical Research Institute, Durham, NC, USA
d CCECQA 12 rue Dubernat, 33404 Talence cedex, France
e The Society of Thoracic Surgeons National Database, London, UK
f Department of Cardiac Surgery, Hammersmith Hospital, London, UK
Received 17 September 2001; received in revised form 8 March 2002; accepted 25 March 2002.
* Corresponding author. Tel.: +44-1480-364-299; fax: +44-1480-364-744
e-mail: sam.nashef{at}euroscore.org
Objective: To assess the performance of the European System for Cardiac Operative Risk Evaluation (EuroSCORE) when applied in a North American cardiac surgical population. Methods: The simple additive EuroSCORE model was applied to predict operative mortality (in-hospital or 30-day) in 401 684 patients undergoing coronary or valve surgery in 1998 and 1999 as well as in 188 913 patients undergoing surgery in 1995 in the Society of Thoracic Surgeons (STS) database. Results: The proportion of isolated coronary artery bypass grafting (CABG) was greater in STS patients (84%) than in Europe (65%). STS patients were also older (mean age 65.3 versus 62.5), and had more diabetes (30 versus 17%) and prior cardiac surgery (11 versus 7%). Other comorbidity was also significantly more prevalent in STS patients. EuroSCORE predicted overall mortality was virtually identical to the observed mortality (1998/1999: predicted 3.994%, observed 3.992%; 1995: observed and predicted 4.156%). Predicted mortality also closely matched observed mortality across the risk groups. Discrimination was good to very good for the population overall and for isolated CABG in both time periods, with the area under the receiver operating characteristic curve between 0.75 and 0.78. Conclusion: Despite substantial demographic differences between Europe and North America, EuroSCORE performs very well in the STS database, and can be recommended as a simple, additive risk stratification system on both sides of the Atlantic.
Key Words: European System for Cardiac Operative Risk Evaluation • Society of Thoracic Surgeons • Database • Risk stratification
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F. Seccareccia, C. A. Perucci, P. D'Errigo, and D. Fusco Concerning the Editorial comment by Dr Menicanti. Eur. J. Cardiothorac. Surg., May 1, 2006; 29(5): 858 - 859. [Full Text] [PDF]
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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]
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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]
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N. Luciani, G. Nasso, A. Anselmi, F. Glieca, M. Gaudino, F. Girola, M. Piscitelli, M. Perisano, L. Martinelli, and G. Possati Repeat Valvular Operations: Bench Optimization of Conventional Surgery Ann. Thorac. Surg., April 1, 2006; 81(4): 1279 - 1283. [Abstract] [Full Text] [PDF]
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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]
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M. J. Price, E. Cristea, N. Sawhney, J. A. Kao, J. W. Moses, M. B. Leon, R. A. Costa, A. J. Lansky, and P. S. Teirstein Serial Angiographic Follow-Up of Sirolimus-Eluting Stents for Unprotected Left Main Coronary Artery Revascularization J. Am. Coll. Cardiol., February 21, 2006; 47(4): 871 - 877. [Abstract] [Full Text] [PDF]
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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]
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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]
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J. M. Bernal, J. Lorca, D. Prieto-Salceda, I. Pulitani, A. Ponton, I. Garcia, and J. M. Revuelta Performance at 10 years of the CarboMedics 'Top-Hat' valve. Postclamping time is a predictor of mortality Eur. J. Cardiothorac. Surg., February 1, 2006; 29(2): 144 - 149. [Abstract] [Full Text] [PDF]
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I. K. Toumpoulis, C. E. Anagnostopoulos, D. G. Katritsis, J. J. DeRose Jr, and D. G. Swistel The Impact of Preoperative Thrombolysis on Long-Term Survival After Coronary Artery Bypass Grafting Circulation, August 30, 2005; 112(9_suppl): I-351 - I-357. [Abstract] [Full Text] [PDF]
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R.E. Anderson, K. Klerdal, T. Ivert, N. Hammar, G. Barr, and A. Owall Are even impaired fasting blood glucose levels preoperatively associated with increased mortality after CABG surgery? Eur. Heart J., August 1, 2005; 26(15): 1513 - 1518. [Abstract] [Full Text] [PDF]
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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]
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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]
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J. J. DeRose Jr, I. K. Toumpoulis, S. K. Balaram, J. P. Ioannidis, S. Belsley, R. C. Ashton Jr, D. G. Swistel, and C. E. Anagnostopoulos Preoperative prediction of long-term survival after coronary artery bypass grafting in patients with low left ventricular ejection fraction J. Thorac. Cardiovasc. Surg., February 1, 2005; 129(2): 314 - 321. [Abstract] [Full Text] [PDF]
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 I. K. Toumpoulis, C. E. Anagnostopoulos, J. J. DeRose Jr, and D. G. Swistel The Impact of Deep Sternal Wound Infection on Long-term Survival After Coronary Artery Bypass Grafting Chest, February 1, 2005; 127(2): 464 - 471. [Abstract] [Full Text] [PDF]
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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]
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C.-C. Chen, C.-C. Wang, S.-R. Hsieh, H.-W. Tsai, H.-J. Wei, and Y. Chang Application of European system for cardiac operative risk evaluation (EuroSCORE) in coronary artery bypass surgery for Taiwanese Interactive CardioVascular and Thoracic Surgery, December 1, 2004; 3(4): 562 - 565. [Abstract] [Full Text] [PDF]
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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]
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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]
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D. M. Shahian, E. H. Blackstone, F. H. Edwards, F. L. Grover, G. L. Grunkemeier, D. C. Naftel, S. A.M. Nashef, W. C. Nugent, and E. D. Peterson Cardiac Surgery Risk Models: A Position Article Ann. Thorac. Surg., November 1, 2004; 78(5): 1868 - 1877. [Abstract] [Full Text] [PDF]
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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]
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B. Medalion, D. Meirson, E. Hauptman, L. Sasson, and A. Schachner Initial experience with the Heartstring proximal anastomotic system J. Thorac. Cardiovasc. Surg., August 1, 2004; 128(2): 273 - 277. [Abstract] [Full Text] [PDF]
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N. Kang, T. Cole, V. Tsang, M. Elliott, and M. de Leval Risk stratification in paediatric open-heart surgery Eur. J. Cardiothorac. Surg., July 1, 2004; 26(1): 3 - 11. [Abstract] [Full Text] [PDF]
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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]
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M. J. Jurmann, H. Siniawski, M. Erb, T. Drews, and R. Hetzer Initial experience with miniature axial flow ventricular assist devices for postcardiotomy heart failure Ann. Thorac. Surg., May 1, 2004; 77(5): 1642 - 1647. [Abstract] [Full Text] [PDF]
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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]
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 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]
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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]
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