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Ann Thorac Surg 2006;82:2088
© 2006 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Invited commentary

Samer A.M. Nashef, FRCS

Cardiothoracic Surgical Unit, Papworth Hospital, Cambridge, CB3 8RE United Kingdom

(Email: sam.nashef@papworth.nhs.uk).

The first 20% of the full text of this article appears below.

In this study, Mazzoni and colleagues [1] have examined preoperative risk scoring (using EuroSCORE in both its additive and logistic versions) in combination with postoperative variables using Sequential Organ Failure Assessment (SOFA). Their main aim was to determine whether these are associated with excess mortality and morbidity after hospital discharge. Perhaps, not surprisingly, they found that both are associated with worse outcomes.

The study and the methods are sound and elegantly demonstrate the strong association between risk prediction and subsequent likelihood of death and early readmission. The main weakness in the study is the "so what" question: sick patients before and after surgery are likely to do worse, and at the most basic . . . [Full Text of this Article]


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Long-Term Outcome of Survivors of Prolonged Intensive Care Treatment After Cardiac Surgery
Maurizio Mazzoni, Renata De Maria, Franco Bortone, Marina Parolini, Roberto Ceriani, Costantino Solinas, Vincenzo Arena, and Oberdan Parodi
Ann. Thorac. Surg. 2006 82: 2080-2087. [Abstract] [Full Text] [PDF]





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