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

Newton, Isaac; Andrade, Gustavo; Neto, Fernando Ribeiro de Moraes; João, Paulo; Tiago, Igor; Silva, Igor; Andrade, Tamyris Guimarães; Roberto, Carlos; Moraes, Ribeiro de

doi:10.1590/s0102-76382010000100007

Cited by 24 publications

(18 citation statements)

References 20 publications

(17 reference statements)

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“…A remark made regarding the analysis of this study and other studies applied in different populations [4][5][6][7]11,[15][16][17] suggests that it is not the type of the patient as a result of his/her ethnicity that defined the surgical outcomes, but the patient as a result of the control of risk factors. For that reason, we should not continue insisting on the premise that a different ethnic group would not validate the applicability of these models [19,20].…”

Section: Discussionmentioning

confidence: 91%

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Os escores 2000 Bernstein-Parsonnet e EuroSCORE são similares na predição da mortalidade no Instituto do Coração-USP

Mejía¹,

Lisboa²,

Puig³

et al. 2011

Rev Bras Cir Cardiovasc

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Section: Discussionmentioning

confidence: 91%

“…The EuroSCORE was used successfully. It was retrospectively and posteriorly used in both CABG [4,15] and heart valve surgeries [16], respectively, at the Heart Institute of Pernambuco. There are studies showing a better performance of the EuroSCORE model in relation to the original Parsonnet model score [5][6][7]12].…”

Section: Discussionmentioning

confidence: 99%

Os escores 2000 Bernstein-Parsonnet e EuroSCORE são similares na predição da mortalidade no Instituto do Coração-USP

Mejía¹,

Lisboa²,

Puig³

et al. 2011

Rev Bras Cir Cardiovasc

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“…It was observed that patients with adverse outcome had a higher mean score (statistically significant) compared to patients who had a successful outcome (survival: 6.57 ± 0.53 versus deaths: 10.93 ± 2.23, P <0.001, Table 6). Other Brazilian studies [23,24] validated this system in CABG and heart valve surgery as a satisfactory predictor of operative mortality being: the higher the surgical risk, the higher scores.…”

Section: Resultsmentioning

confidence: 92%

Perfil clínico-cirúrgico de pacientes operados por ruptura do septo interventricular pós-infarto do miocárdio

Sá¹,

Sá²,

Barbosa³

et al. 2010

Rev Bras Cir Cardiovasc

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Perfil clínico-cirúrgico de pacientes operados por ruptura do septo interventricular pós-infarto do miocárdioClinical and surgical profile of patients operated for postinfarction ventricular septal rupture .9% (n = 13) were male. Rupture occurred on average 4.8 days after infarction. Cardiogenic shock was observed in 57.1% (n = 12), being risk factor for death (100% with shock vs 22,2% without shock; P<0.001). Survivors had a higher mean ejection fraction compared to deaths (66.29% ± 4.61% versus 42.71% ± 4.79%, P <0.001). All were classified as high risk by the EuroSCORE, and the survivors had lower mean score compared to deaths (6.57 ± 0.53 versus 10.93 ± 2.23; p <0.001). The majority (76.2%, n = 16) needed to use vasoactive drugs and 57.1% (n = 12) considered hemodynamically unstable. The need for vasoactive drugs was a risk factor for death (81.3% in the vasoactive drugs group versus 20% without vasoactive drugs group, P = 0.025). Hemodynamic instability was also a risk factor for death (100% in the unstable group versus 22.2% in the stable group; P <0.001). The rate of in-hospital mortality was 66.7% (n = 14).Conclusions: The need for vasoactive drugs, hemodynamic instability and cardiogenic shock were associated with higher rates of mortality. Patients who had adverse outcomes had less ventricular function and higher score in the EuroSCORE. Mortality rate remains high.Descriptors: Heart Septal Defects. Heart Rupture, PostInfarction. Myocardial Infarction. 342SÁ, MPBO ET AL -Clinical and surgical profile of patients operated for postinfarction ventricular septal rupture Bras Cir Cardiovasc 2010; 25(3): 341-349 Rev

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“…In contrast, a study conducted by Moraes et al with a group of 752 patients who underwent CABGS at the Instituto do Coração de Pernambuco in 2003 and 2004, the EuroSCORE proved to be a simple and objective scale and was a satisfactory predictor of surgical mortality 7 . Andrade et al assessed the applicability of the EuroSCORE with 840 patients undergoing valve surgery and observed that the score proved to be a satisfactory predictor of surgical mortality and helpful for identifying risk during valve surgery in Pernambuco 8 . There are many differences between countries in terms of the indications for surgery, technical capacity and the characteristics of the patients given CABGS.…”

Section: Discussionmentioning

confidence: 99%

Comparação de dois modelos de estratificação de risco em pacientes eletivamente submetidos à cirurgia de revascularização miocárdica

Nery¹,

Pietrobon²,

Mahmud³

et al. 2010

Rev. Assoc. Med. Bras.

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objectIve. To compare the Cleveland Clinical Score and EuroSCORE when evaluating patients submitted to elective CABGS in Rio Grande do Sul, RS, Brazil. Methods. This was a cohort study of 202 patients given CABGS between January 2006 and March 2007. Surgical risk was categorized according to the Cleveland Clinic Score and the EuroSCORE as low, medium or high. The incidence of deaths was measured over a 60-day period. results. The mean age of patients was 62±10 years and 134 (66%) of them were men. A correlation was observed between the scores for classifying patients into different levels of risk. According to the Cleveland Clinic score and the EuroSCORE, respectively, patients were categorized as follows: 142(70.3%) and 155(76.7%) low risk patients, 56(27.7%) and 43(21.3) intermediate risk patients and 4(2%) and 4(2%) high risk patients; with a Kaplan correlation coefficient of 0.432; p0.001. Thirteen (13, 6.4%) patients died during the first 60 days after surgery. There was a correlation between greater incidence of death and higher risk categories for both the Cleveland Clinic score and the EuroSCORE. Deaths occurred in the Cleveland and EuroSCORE risk groups, respectively, as follows: 6 (4.4%) and 7 (4.5%) in the low risk group; 5 (8.9%) and 5 (11.6%) in the intermediate risk group and 2 (50%) 3 1(25%) in the high risk group. Observed sensitivity for surgical mortality prediction was 72.5% and 66.5% for the Cleveland score and EuroSCORE respectively. conclusIon. The Cleveland Clinic and EuroSCORE surgical risk prediction instruments are both moderately effective for predicting mortality among elective CABGS patients.

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

Cited by 24 publications

References 20 publications

Os escores 2000 Bernstein-Parsonnet e EuroSCORE são similares na predição da mortalidade no Instituto do Coração-USP

Os escores 2000 Bernstein-Parsonnet e EuroSCORE são similares na predição da mortalidade no Instituto do Coração-USP

Perfil clínico-cirúrgico de pacientes operados por ruptura do septo interventricular pós-infarto do miocárdio

Comparação de dois modelos de estratificação de risco em pacientes eletivamente submetidos à cirurgia de revascularização miocárdica

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