Logistic or additive EuroSCORE for high-risk patients?☆

Abstract

The additive EuroSCORE model remains a simple "gold standard" for risk assessment in European cardiac surgery, usable at the bedside without complex calculations or information technology. The logistic model is a better risk predictor especially in high-risk patients and may be of interest to institutions engaged in the study and development of risk stratification.

The contribution of the anaesthetist to risk‐adjusted mortality after cardiac surgery

“…Sensitivity analysis excluding this centre did not differ from the analysis including it. The proportion of patients lying above the risk level where the additive EuroSCORE starts to underperform (EuroSCORE ≥ 10%) was very small (0.62%, n = 689 of 110 769) 14, 20. All centres were high‐volume, with only two having fewer than 800 cases per year, the largest high‐volume threshold encountered in the literature 21.…”

“…It includes 17 cardiac, operation‐ and patient‐related factors and is used for risk assessment in many countries. This is the principal patient covariate we considered and it should be sufficient since all important patient‐related factors for in‐hospital mortality were included in its construction, with appropriate weighting 13, 14. Although the original logistic EuroSCORE 13 has been recalibrated (EuroSCORE‐2 14), the original version was in use during this study and was the version supplied by participating centres.…”

Comparison of standard Euroscore, logistic Euroscore and Euroscore II in prediction of early mortality following coronary artery bypass grafting

“…Aslında risk faktör-lerinin gerçek ilişkisinin basit toplamadan farklı olacağı düşünül-düğünde aditif EuroSCORE'un özellikle çok sayıda risk faktörü olan hastalarda mortaliteyi düşük tahmin edebileceğini kabul eden Nashef ve ark. 'ları (11) 2003 yılında programın logaritmik versiyonunu sundular ve ardından yayınladıkları çalışmalarında lojistik EuroSCORE'un özellikle yüksek risk grubunda mortalite belirlemede standart EuroSCORE'dan daha başarılı olduğunu bildirdiler (14). Takip eden dönemde lojistik EuroSCORE un aditif versiyonun aksine riskli hasta grubunda mortaliteyi yüksek tahmin ettiğini vurgulayan deneyimler yayınlandı (10,15,16).…”

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

“…It was designed to provide a predicted operative mortality up to 30 days in patients undergoing cardiac surgery. It has been validated with good outcomes in Europe, North America, and Japanese populations [3][4][5][6][7][8][9]. It has also been used to provide other useful parameters, including long-term mortality [10], the length of stay in the intensive care units (ICU) [11], complications [12,13], and costs in cardiac surgery [11,14].…”