Validação de um novo escore de risco cirúrgico para cirurgia valvar: VMCP

Abstract

SummaryBackground: Some studies have developed scores for the assessment of surgical risk, particularly the EuroSCORE, which, however, is complex and difficult to apply. We suggest a new and simpler score, which is more appropriate for the clinical practice and for the assessment of surgical risk in patients with heart valve diseases.

Avaliação do EuroSCORE como preditor de mortalidade em cirurgia cardíaca valvar no Instituto do Coração de Pernambuco

“…The EuroSCORE is an additive system which each one of the 17 risk factors receives a score, that, when summed up, supplies a score that allows classifying a certain patient in one of the three risk groups: low-risk (score 0-2), medium-risk (score 3-5) and high-risk (score >6). After publishing the original work [1], several centers started adopting the EuroSCORE [11][12][13][14], but some discrepant results appeared between the expected mortality and the observed mortality, especially in high-risk patients. In order to solve this problem, Nashef et al [4] started conceding the value of a logarithmic function to each one of the variables, which made possible, at the end of the calculation, to attribute a value of death risk percentage.…”

“…Rev Bras Cir Cardiovasc 2010; 25 (1): [11][12][13][14][15][16][17][18] chosen for it has already been part of a line of research of our group.…”

Proposta de escore de risco pré-operatório para pacientes candidatos à cirurgia cardíaca valvar

“…Recently, in our country, a new risk score for cardiac valve surgery (VMPC) was published, which was able to predict a longer period of hospitalization. However, the risk of death could not be predicted at the multivariate analysis 31 .…”

“…Although it was not evaluated in most studies 12,29,31 , the presence of PAH showed to be an important predictor of death in some series 13,24 .…”

Diretriz Brasileira de Valvopatias - SBC 2011/ I Diretriz Interamericana de Valvopatias - SIAC 2011

“…Um preciso diagnóstico anatômico e funcional é fundamental para o correto manejo das valvopatias 10 . O ponto de partida é a realização de anamnese e exame físico completos, com destaque para a ausculta cardíaca.…”