EuroSCORE e os pacientes submetidos a revascularização do miocárdio na Santa Casa de São Paulo

Abstract

Objective: The aim of this study was to assess the performance of the European System of Cardiac Operation Risk Evaluation (EuroSCORE) model to predict mortality of patients undergoing coronary artery bypass surgery in the Cardiovascular Surgery Division of Santa Casa de São Paulo Medical School.Methods: From May 2005 to November 2006, 100 consecutive patients undergoing coronary artery bypass surgery were retrospectively analyzed. The records of these patients were reviewed in order to retrieve the variables included in the EuroSCORE method. The correlation of predicted and observed mortality was compared. Statistical analysis was performed using the chi-square test for univariate analysis and the Hosmer-Lemeshow test for logistic regression.Results: Hospital mortality was 5%. The EuroSCORE univariate analysis findings were as follows: score 0-2 predicted mortality 0.40%, observed 0.00%; score 3-5 predicted mortality 1.45%, observed 0.00%; score greater than 6 predicted mortality 3.15%, observed 7.94%. In spite of these differences the p-value was 0.213 demonstrating no statistical significance. The p-value for the HosmerLemeshow test was < 0.001 indicating poor calibration of the model for this sample.Conclusion: The EuroSCORE model is a simple, 263CAMPAGNUCCI, VP ET AL -EuroSCORE and the patients undergoing coronary bypass surgery at Santa Casa de São Paulo Aplicamos o teste do qui-quadrado para análise univariada e o teste de Hosmer-Lemeshow para ajuste do modelo de regressão logística.Resultados: A mortalidade hospitalar foi 5,0%. Na análise univariada, para escore 0-2 a mortalidade prevista pelo EuroSCORE foi de 0,40% e a encontrada 0%. Para o escore 3-5, a mortalidade prevista foi de 1,45% e a encontrada 0%. Para escore >6, a mortalidade prevista foi de 3,15% e a encontrada 7,94%. As discrepâncias entre as porcentagens observadas e previstas não foram estatisticamente significantes (p = 0,213

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

“…The present study, in line with other investigations (13,14,15,16), shows that postoperative morbidity is significantly higher in patients aged 70 years or older. In our sample, patients in this age group that underwent CAGB had more pulmonary complications in postoperative hospitalization compared to younger individuals.…”

EuroSCORE e mortalidade em cirurgia de revascularização miocárdica no Pronto Socorro Cardiológico de Pernambuco

“…Not to consider the presence of risk factors could lead to misleading conclusions, especially when applied to a specialty where it is known that the sickest patients (those with multivessel disease, which "coincidentally" are carriers of a greater number of comorbidities) are the ones who benefit the most from surgical treatment compared to the conservative medical treatment [21]. It is enough to observe that the present study highlighted a higher prevalence (compared to the original EuroSCORE study) factors as female gender, COPD, heart surgery, creatinine > 2.3 mg / dL, unstable angina, AMI <90 days, and PASP > 60 mmHg.…”

Evolução clínica de pacientes submetidos à revascularização do miocárdio em um hospital universitário de 2004 a 2008

“…O local da internação dos pacientes não tem sido avaliado por pesquisadores, contudo a avaliação do fluxo dos pacientes tem grande relevância para um hospital de ensino com grandes gargalos, com relação à oferta de serviços pela alta demanda de leitos e procedimentos de alta complexidade como a cirurgia de revascularização do miocárdio. Esse percentual esteve próximo de outro estudo, entretanto a maioria foi proveniente da Unidade de emergência (20).…”