2013
DOI: 10.1055/s-0033-1348197 View full text |Buy / Rent full text
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Abstract: Although EuroSCORE II is the newest risk model for cardiac surgery, it is not accurate when it is applied for thoracic aortic surgery. A new risk evaluating system specially designed for aortic surgery should be developed in the future.

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“…Previous study has identified several preoperative factors that predict poor outcomes in ATAD patients, 8 but EuroSCORE II was pointed out to be not accurate when applied for thoracic aortic dissection surgery. 9 And there was no preoperative risk evaluation system involving acute systemic inflammation factors for postoperative prognostic assessment. Our finding demonstrated that high preoperative SII was closely related to poor short-term outcomes in ATAD patients, which was suitable to be enrolled in the future risk evaluation system.…”
Section: Discussionmentioning
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“…Previous study has identified several preoperative factors that predict poor outcomes in ATAD patients, 8 but EuroSCORE II was pointed out to be not accurate when applied for thoracic aortic dissection surgery. 9 And there was no preoperative risk evaluation system involving acute systemic inflammation factors for postoperative prognostic assessment. Our finding demonstrated that high preoperative SII was closely related to poor short-term outcomes in ATAD patients, which was suitable to be enrolled in the future risk evaluation system.…”
Section: Discussionmentioning
“…A previous study showed the limited performance of the ES2 in this specific group. [ 28 ] Finally, the best way to improve the risk- adjusted result of a cardiac surgeon is probably to operate mainly low-risk patients.…”
Section: Discussionmentioning
“…Similarly, the European System for Cardiac Operative Risk Evaluation (EuroSCORE) [5], EuroSCORE II updated in 2012 [6], Ontario Province Risk (OPR) established in 1991, the Society of Thoracic Surgeons score (STS score) [7], and Cleveland model established in 1992 are also widely used scoring systems to predict early and in-hospital mortality in a variety of cardiac surgery, including aortic dissection. However, these scoring systems for patients undergoing conventional cardiac surgery are not suitable for patients with acute type A aortic dissection [8]. On the other hand, the average age of onset of aortic dissection in China is lower than that in western countries for 10–15 years [9], and it takes longer from onset to surgical treatment than in developed countries (average 4.5 h in developed countries and 2–7 days in developing countries likes China).…”
Section: Discussionmentioning