Cardiac operative risk evaluation: The EuroSCORE II, does it make a real difference?

Noyez, Luc; Kievit, Peter C.; Swieten, Henri A. van; Boer, Menko Jan de

doi:10.1007/s12471-012-0327-1

Cited by 52 publications

(39 citation statements)

References 10 publications

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“…It is also known that immobility after cardiac surgery contributes to an increased risk for postoperative complications and a longer hospital stay [4–6]. Recently, slow gait speed was identified as an independent predictor of mortality and morbidity in elderly patients undergoing cardiac surgery, whilst the EuroSCORE II identified poor mobility (secondary to musculoskeletal or neurological dysfunction) as a predictor for an increased mortality after cardiac surgery [7–9]. The aim of the current study was to evaluate whether sedentary behaviour is an independent predictor for short-term mortality after elective cardiac surgery.…”

Section: Introductionmentioning

confidence: 99%

Is a sedentary lifestyle an independent predictor for hospital and early mortality after elective cardiac surgery?

2013

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ObjectiveThis study evaluates whether a sedentary lifestyle is an independent predictor for increased mortality after elective cardiac surgery.MethodsThree thousand one hundred fifty patients undergoing elective cardiac surgery between January 2007 and June 2012 completed preoperatively the Corpus Christi Heart Project questionnaire concerning physical activity (PA). Based on this questionnaire, 1815 patients were classified as active and 1335 patients were classified as sedentary. The endpoints of the study were hospital mortality and early mortality.ResultsThe study population had a mean age of 69.7 ± 10.1 (19–95) years and a mean logistic EuroSCORE risk of 5.1 ± 5.6 (0.88–73.8). Sedentary patients were significantly older (p = 0.001), obese (p = 0.001), had a higher EuroSCORE risk (p = 0.001), and a higher percentage of complications. Hospital mortality (1.1 % versus 0.4 % (p = 0.014)) and early mortality (1.5 % versus 0.6 % (p = 0.006)) were significantly higher in the sedentary group compared with the active group. However, a sedentary lifestyle was not identified as an independent predictor for hospital mortality (p = 0.61) or early mortality (p = 0.70).ConclusionSedentary patients were older, obese and had a higher EuroSCORE risk. They had significantly more postoperative complications, higher hospital mortality and early mortality. Despite these results, sedentary behaviour could not be identified as an independent predictor for hospital or early mortality.

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Section: Introductionmentioning

confidence: 99%

Is a sedentary lifestyle an independent predictor for hospital and early mortality after elective cardiac surgery?

2013

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“…The anesthetist in charge calculated the Cardiac Anesthesia Risk Evaluation (CARE) score [7] and EuroScore II [8] at the preanesthetic assessment, and another researcher who was unaware of anesthetic and surgical risk scores, calculated the frailty scores using the Edmonton Frail Scale (Table 1) and the Clinical Frailty Scale (Table 2), which contain questions on lifestyle and the physical condition of patients.…”

Section: Methodsmentioning

confidence: 99%

Are frailty scales better than anesthesia or surgical scales to determine risk in cardiac surgery?

Kovács

Moraru

Antal

et al. 2017

Korean J Anesthesiol

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BackgroundIn the last year there has been an increasing interest for using frailty scales for risk stratification of elderly patients undergoing major surgery. We planned to compare two frailty scales with risk scales already used in cardiac surgery, to study which of these scores have better prognostic value predicting postoperative outcome in open heart surgery.MethodsWe conducted a prospective clinical trial, including 57 patients over 65 years. We calculated Cardiac Anesthesia Risk Evaluation score, EuroScore II, Clinical Frailty Scale, Edmonton Frail Scale for each patient and followed the postoperative complications, length of mechanical ventilation, length of stay in the intensive care unit and hospital, and in-hospital death related to these risk and frailty scores.ResultsPostoperative complications occurred in 25 patients (43.9%), while four patients (7%) died with multiple organ failure. All scales had low predictability for postoperative complications, but for length of mechanical ventilation we obtained positive correlations with EuroScore II, Edmonton Frail Scale and Clinical Frailty Scale. EuroScore II can also predict the length of stay in the intensive care unit. For postoperative deaths, the highest sensitivity had EuroScore II, followed by Clinical Frailty Scale and Edmonton Frail Scale.ConclusionsEuroScore II and the frailty scales have an increased prognostic value regarding the postoperative outcome of patients (length of mechanical ventilation and in-hospital mortality), the EuroScore II can predict the length of stay in the intensive care unit as well.

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“…EuroSCORE II var reiknað fyrir alla sjúklinga fyrir aðgerð, en það er áhaettulíkan sem metur líkur á dauða sjúklinga á fyrstu 30 dögum frá aðgerð. 16 Aðgerðum var skipt í lífsbjargandi (emergency), bráða (acute) og áríðandi (subacute). Lífsbjargandi aðgerð var skilgreind sem aðgerð framkvaemd innan 24 klukkustunda frá ákvörðun um að-gerð og sjúklingum ekki hugað líf án inngrips.…”

Section: Efniviður Og Aðferðirunclassified

Skurðaðgerðir við hjartaþelsbólgu á Íslandi 1997-2013

Jóhannesdóttir¹,

Guðbjartsson²,

Geirsson³

2017

LBL

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Cardiac operative risk evaluation: The EuroSCORE II, does it make a real difference?

Abstract: The EuroSCORE II, based on a recently updated database, reduces the overestimation of the calculated risk by the initial EuroSCORE. This difference is statistically significant and the EuroSCORE II may also reflect better current surgical performance.

Cited by 52 publications

References 10 publications

Is a sedentary lifestyle an independent predictor for hospital and early mortality after elective cardiac surgery?

Is a sedentary lifestyle an independent predictor for hospital and early mortality after elective cardiac surgery?

Are frailty scales better than anesthesia or surgical scales to determine risk in cardiac surgery?

Skurðaðgerðir við hjartaþelsbólgu á Íslandi 1997-2013

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