EuroSCORE II

Nashef, Samer A.M.; Roques, F.; Sharples, Linda D.; Nilsson, Johan; Smith, Christopher C.; Goldstone, Antony R; Lockowandt, Ulf

doi:10.1093/ejcts/ezs043

Cited by 2,386 publications

(1,831 citation statements)

References 15 publications

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“…Specifically, a history of HF is not included in commonly used cardiac surgery mortality risk scores. The EuroScore II35 incorporates preoperative EF but does not account for HF in the calculation of early operative mortality. The Society of Thoracic Surgeons risk model36 includes preoperative EF and New York Heart Association functional status (a classification of physical activity limitations) but not a history of HF.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Long‐Term Survival After Coronary Artery Bypass Grafting in Women and Men With Heart Failure and Preserved Versus Reduced Ejection Fraction

Sun

Eddeen

2018

JAHA

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BackgroundHeart failure (HF) with reduced ejection fraction (rEF) is a widely regarded prognosticator after coronary artery bypass grafting. HF with preserved ejection fraction (pEF) accounts for up to half of all HF cases and is associated with considerable morbidity and mortality in hospitalized cohorts. However, HFpEF outcomes have not been elucidated in cardiac surgical patients. We investigated the prevalence and outcomes of HFpEF and HFrEF in women and men following coronary artery bypass grafting.Methods and ResultsWe conducted a retrospective cohort study in Ontario, Canada, between October 1, 2008, and March 31, 2015, using Cardiac Care Network and Canadian Institute of Health Information data. HF is captured through a validated population‐based database of all Ontarians with physician‐diagnosed HF. We defined pEF as ejection fraction ≥50% and rEF as ejection fraction <50%. The primary outcome was all‐cause mortality. Analyses were stratified by sex. Mortality rates were calculated using Kaplan–Meier method. The relative hazard of death was assessed using multivariable Cox proportional hazard models. Of 40 083 patients (20.6% women), 55.5% had pEF without HF, 25.7% had rEF without HF, 6.9% had HFpEF, and 12.0% had HFrEF. Age‐standardized HFpEF mortality rates at 4±2 years of follow‐up were similar in women and men. HFrEF standardized HFpEF mortality rates were higher in women than men.ConclusionsWe found a higher prevalence and poorer prognosis of HFpEF in women. A history of HF was a more important prognosticator than ejection fraction. Preoperative screening and extended postoperative follow‐up should be focused on women and men with HF rather than on rEF alone.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Long‐Term Survival After Coronary Artery Bypass Grafting in Women and Men With Heart Failure and Preserved Versus Reduced Ejection Fraction

Sun

Eddeen

2018

JAHA

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“…So far, there are virtually no prospective randomized trials comparing minimally invasive valve surgery (MIMVS) and standard sternotomy (ST) in an unbiased way, and the majority of evidence rely on observational studies. Moreover, definition of the level of risk has been a controversial issue, mainly because the currently available tools of risk prediction in cardiac surgery such as EuroSCORE II [3] and The Society of Thoracic Surgery Predicted of Risk of Mortality [4] lose calibration and discrimination in the upper boundaries or deciles of surgical risk. Hence, defining where to draw the "red line" above which patients should be considered at high risk remains a challenge and an issue of debate.…”

Section: (Ann Thorac Surg 2015;-:---) ó 2015 By the Society Of Thoracmentioning

confidence: 99%

What Is the Role of Minimally Invasive Mitral Valve Surgery in High-Risk Patients? A Meta-Analysis of Observational Studies

Moscarelli

Fattouch

Casula

et al. 2016

The Annals of Thoracic Surgery

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Background. Minimally invasive valve surgery is related to certain better postoperative outcomes. We aimed to assess the role of minimally invasive mitral valve surgery in high-risk patients.Methods. A systematic literature review identified eight studies of which seven fulfilled criteria for metaanalysis. Outcomes for a total of 1,254 patients (731 were conventional standard sternotomy and 523 were minimally invasive mitral valve surgery) were submitted to meta-analysis using random effects modeling. Heterogeneity and subgroup analysis with quality scoring were assessed. The primary end point was early mortality. Secondary end points were intraoperative and postoperative outcomes and long-term follow-up.Results. Minimally invasive mitral valve surgery conferred comparable early mortality to standard sternotomy (p [ 0.19); it was also associated with a lower number of units of blood transfused (weighted mean difference, L1.93; 95% confidence interval [CI], L3.04

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“…Other baseline characteristics followed the definitions of EuroSCORE II parameters [9]. EuroSCORE [8], EuroSCORE II [9] and Society of Thoracic Surgeon's (STS) Scores [10] were calculated for all patients.…”

Section: Methodsmentioning

confidence: 99%

Contemporary Mitral Valve Surgery for Septuagenarians and Octogenarians

Liao¹,

Wang²,

Harmos³

et al. 2017

MEDJ

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EuroSCORE II

Abstract: Cardiac surgical mortality has significantly reduced in the last 15 years despite older and sicker patients. EuroSCORE II is better calibrated than the original model yet preserves powerful discrimination. It is proposed for the future assessment of cardiac surgical risk.

Cited by 2,386 publications

References 15 publications

Prevalence and Long‐Term Survival After Coronary Artery Bypass Grafting in Women and Men With Heart Failure and Preserved Versus Reduced Ejection Fraction

Prevalence and Long‐Term Survival After Coronary Artery Bypass Grafting in Women and Men With Heart Failure and Preserved Versus Reduced Ejection Fraction

What Is the Role of Minimally Invasive Mitral Valve Surgery in High-Risk Patients? A Meta-Analysis of Observational Studies

Contemporary Mitral Valve Surgery for Septuagenarians and Octogenarians

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