Affiliation:
1. Center of anesthesia, intensive care and pain management
Abstract
The growing interest of risk adjusted analysis of outcome in cardiac surgery has led to the development of variety of risk prediction models. EuroSCORE, a risk scoring system developed in 9 countries in Europe, has gained popularity during recent years. However, any scoring system can’t be used reliably when its validity has been tested in the local patient population. The aim of this study was to assess the performance of EuroSCORE model on the patients operated in our institution. All consecutive coronary artery bypass grafting patients operated on between 2000 and 2002 in Vilnius university hospital Santariškių Clinics were subjected to the investigation. The standard EuroSCORE model was used to predict in-hospital mortality, morbidity and prolonged intensive care unit length of stay. Model discrimination was tested by determining the area under the receiver operating characteristic (ROC) curve.
Publisher
Gomel State Medical University
Reference21 articles.
1. Paimen, B. A simple classification of the risk in cardiac surgery / B. Paimen, C. Pelletier, I. Dryda // Can Anesth Soc J. - 1983. - Vol. 30. - P. 61-68.
2. Parsonnet, V. A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease / V. Parsonnet, D. Dean, A. Bernstein // Circulation. - 1989. - Vol. 79. - R. 3-12.
3. Shroyer, L. Coronary artery bypass risk model: The society of thoracic surgeons adult cardiac national database / L. Shroyer, F. Grover, F. Edwards // Ann Thorac Surg. - 1998. - Vol. 65. - R. 879-884.
4. Estafaneus, F. A severity score for preoperative risk factors as related to morbidity in patients with coronary artery disease undergoing myocardial revascularization surgery / F. Estafaneus, T. Higgins, F. Loop // Current Opinion Cardiol. - 1992. - Vol. 7. - R. 950-958.
5. Multicenter validation of risk index for mortality, intensive care unit stay, and overall hospital length of stay after cardiac surgery / J. Tu [et al.] // Circulation. - 1995. - Vol. 91. - R. 677-684.