| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2005;79:1902-1908
© 2005 The Society of Thoracic Surgeons
a Department of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, St. Luke’s-Roosevelt Hospital Center, New York, New York
b Department of Cardiac Surgery, University of Athens School of Medicine, Attikon Hospital Center, Athens, Greece
Accepted for publication December 20, 2004.
* Address reprint requests to Dr Toumpoulis, St. Luke’s-Roosevelt Hospital Center at Columbia University, 515 West 59th Street, New York, NY 10019 (E-mail: toumpoul{at}otenet.gr).
BACKGROUND: The European System for Cardiac Operative Risk Evaluation (EuroSCORE) is the most rigorously evaluated scoring system in cardiac surgery. We sought to evaluate the performance of EuroSCORE in the prediction of long-term mortality in patients undergoing heart valve surgery.
METHODS: Medical records of patients with isolated or combined heart valve surgery, who were discharged alive (n = 1035), were retrospectively reviewed. Their operative surgical risks were calculated according to EuroSCORE model (standard and logistic). Long-term survival data (mean follow-up 4.5 ± 3.1 years) were obtained from the National Death Index. Kaplan-Meier curves of the quartiles of standard and logistic EuroSCORE were plotted.
RESULTS: The estimated 5-year survival rates of the quartiles in the standard and logistic EuroSCORE model were: 90.0% ± 2.3%, 85.1% ± 2.3%, 64.8% ± 3.3%, and 55.1% ± 3.7% (p < 0.0001, log-rank test with adjustment for trend) and 90.4% ± 2.2%, 86.4% ± 2.5%, 66.9% ± 3.3%, and 56.1% ± 3.3% (p < 0.0001, log-rank test with adjustment for trend) respectively. The odds of death in the highest-risk quartile were 7.46- and 7.82-fold higher than the odds of death in the lowest-risk quartile for standard and logistic EuroSCORE respectively.
CONCLUSIONS: EuroSCORE can be used to predict not only in-hospital mortality, for which it was originally designed, but also long-term mortality in the whole context of heart valve surgery. This outcome can be predicted using the standard EuroSCORE, which is very simple and easy in its calculation.
This article has been cited by other articles:
|
|
 |
|
  D P de Arenaza, J Pepper, B Lees, F Rubinstein, F Nugara, M Roughton, M Jasinski, O Bazzino, M Flather, and on behalf of the ASSERT (Aortic Stentless versus S Preoperative 6-minute walk test adds prognostic information to Euroscore in patients undergoing aortic valve replacement Heart, January 15, 2010; 96(2): 113 - 117. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. van Gameren, N. Piazza, A. J J C Bogers, J. J M Takkenberg, and A P. Kappetein How to assess risks of valve surgery: quality, implementation and future of risk models Heart, December 1, 2009; 95(23): 1958 - 1963. [Full Text] [PDF]
|
|
|
|
 |
|
 J. Nissinen, F. Biancari, J.-O. Wistbacka, P. Loponen, K. Teittinen, P. Tarkiainen, S.-P. Koivisto, and M. Tarkka Is it possible to improve the accuracy of EuroSCORE? Eur. J. Cardiothorac. Surg., November 1, 2009; 36(5): 799 - 804. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Zierer, G. Wimmer-Greinecker, S. Martens, A. Moritz, and M. Doss Is transapical aortic valve implantation really less invasive than minimally invasive aortic valve replacement? J. Thorac. Cardiovasc. Surg., November 1, 2009; 138(5): 1067 - 1072. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D Pagano, N Freemantle, B Bridgewater, N Howell, D Ray, M Jackson, B M Fabri, J Au, D Keenan, B Kirkup, et al. Social deprivation and prognostic benefits of cardiac surgery: observational study of 44 902 patients from five hospitals over 10 years BMJ, April 2, 2009; 338(apr02_3): b902 - b902. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Louagie, M. Buche, P. Eucher, J.-C. Schoevaerdts, M. Gerard, J. Jamart, and D. Blommaert Improved patient survival with concomitant Cox Maze III procedure compared with heart surgery alone. Ann. Thorac. Surg., February 1, 2009; 87(2): 440 - 446. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E Romagnoli, F Burzotta, C Trani, M Siviglia, G G L Biondi-Zoccai, G Niccoli, A M Leone, I Porto, M A Mazzari, R Mongiardo, et al. EuroSCORE as predictor of in-hospital mortality after percutaneous coronary intervention Heart, January 1, 2009; 95(1): 43 - 48. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. K. Toumpoulis, C. K. Rokkas, and T. P. Chamogeorgakis The future of risk stratification in thoracic surgery J. Thorac. Cardiovasc. Surg., July 1, 2008; 136(1): 7 - 9. [Full Text] [PDF]
|
|
|
|
|
|
S. Roedler, M. Czerny, J. Neuhauser, D. Zimpfer, R. Gottardi, D. Dunkler, E. Wolner, and M. Grimm Mechanical Aortic Valve Prostheses in the Small Aortic Root: Top Hat Versus Standard CarboMedics Aortic Valve Ann. Thorac. Surg., July 1, 2008; 86(1): 64 - 70. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Pagano, N. J. Howell, N. Freemantle, D. Cunningham, R. S. Bonser, T. R. Graham, J. Mascaro, S. J. Rooney, I. C. Wilson, R. Cramb, et al. Bleeding in cardiac surgery: The use of aprotinin does not affect survival J. Thorac. Cardiovasc. Surg., March 1, 2008; 135(3): 495 - 502. [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. P. Chamogeorgakis, C. P. Connery, F. Bhora, A. Nabong, and I. K. Toumpoulis Thoracoscore predicts midterm mortality in patients undergoing thoracic surgery. J. Thorac. Cardiovasc. Surg., October 1, 2007; 134(4): 883 - 887. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Pavoni, L. P. Badano, F. Ius, E. Mazzaro, R. Frassani, S. Gelsomino, and U. Livi Limited Long-Term Durability of the Cryolife O'Brien Stentless Porcine Xenograft Valve Circulation, September 11, 2007; 116(11_suppl): I-307 - I-313. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. D'Alessandro, P. Leprince, J. L. Golmard, A. Ouattara, S. Aubert, A. Pavie, I. Gandjbakhch, and N. Bonnet Strict glycemic control reduces EuroSCORE expected mortality in diabetic patients undergoing myocardial revascularization J. Thorac. Cardiovasc. Surg., July 1, 2007; 134(1): 29 - 37. [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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
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]
|
|
| 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 |
