Predictive Ability of European Heart Surgery Risk Assessment System II (EuroSCORE II) and the Society of Thoracic Surgeons (STS) Score for in-Hospital and Medium-Term Mortality of Patients Undergoing Coronary Artery Bypass Grafting

Gao, Fei; Shan, Lingtong; Wang, Chong; Meng, Xiaoqi; Chen, Jiapeng; Han, Lixiang; Zhang, Yangyang; Li, Zhi

doi:10.2147/ijgm.s338819

Cited by 13 publications

(12 citation statements)

References 35 publications

(34 reference statements)

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“…In 2019 Nežić et al [25] confirmed a good calibration of the EuroSCORE II in coronary surgery and an excellent discriminative power (AUC=0.84). Recent studies, from different countries, are also in accordance with our results [26,27,28].…”

Section: Baran Et Al Have Compared Changes In Coronary Patients' Char...supporting

confidence: 93%

Changes in risk factors trends in coronary surgery over the past decade - a single center validation

et al. 2022

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Introduction/Objective The Risk factors in coronary patients indicated for surgery change during the years. The aim of this study was to analyze the trends of risk factors which enter into the composition of the European System for Cardiac Operative Risk Evaluation (EuroSCORE II). Methods The research included 3996 patients who underwent coronary surgery from January 2012 to December 2020 at our clinic. For estimation of the risk factors and evaluation of the operative risk, the EuroSCORE II model was used. Kruskal-Wallis H test was used for testing differences of values of numerical variables between years. The calibration and the discriminative power of the EuroSCORE II were assesed by comparing the observed to the expected mortality ratio and by using area under the receiver operating characteristic curve (AUC). Results The old age has shown a significant increasing trend (p < 0.0005), as well as diabetes mellitus on insulin therapy, before surgery (p = 0.004). The significant declining trend have shown: extracardiac arteriopathy (p = 0.003), critical preoperative condition (p = 0.013), preoperative NYHA Classes III or IV (p < 0.0005) and preoperative angina pectoris CCS Class IV (p < 0.0005). The mean value of the EuroSCORE II decreased from 1.73 to 1.53 (p < 0.0005). The observed mortality was 1.70% and the mean, predicted by the EuroSCORE II, was 1.75%. The O/E mortality ratio was 0.98; 95% confidence interval 0.95-1.03. The AUC was 0.825. Conclusion Over the past decade the risk profile of patients for coronary surgery has changed. The mean value of the EuroSCORE II has declining trend with a good predictive and discriminative power.

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Section: Baran Et Al Have Compared Changes In Coronary Patients' Char...supporting

confidence: 93%

Changes in risk factors trends in coronary surgery over the past decade - a single center validation

et al. 2022

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“…The nomogram had a bigger AUC than EuroSCORE II, and it showed a better discriminative ability than EuroSCORE II. Additionally, the deviation between the predicted long-term mortality rate of EuroSCORE II did not agree well with the actual mortality rate [35]. The calibration curve of our nomogram revealed good agreement between predicted and actual OS.…”

Section: Discussionmentioning

confidence: 68%

“…EuroSCORE II is a recognized tool for predicting in-hospital mortality of patients who underwent cardiac surgery. The prediction efficiency of EuroSCORE II for long-term mortality remains controversial, and its performance fades year by year [35,36]. Although several EuroSCORE II variables were independent risk factors for long-term OS, researchers suggested that they can be used in a different algorithm [36].…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of Global Leadership Initiative on Malnutrition for Prognostic Prediction in Patients Who Underwent Cardiac Surgery

et al. 2022

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The Global Leadership Initiative on Malnutrition (GLIM) has achieved a consensus for the diagnosis of malnutrition in recent years. This study aims to determine the prognostic effect of the GLIM after cardiac surgery. A total of 603 patients in the training cohort and 258 patients in the validation cohort were enrolled in this study. Perioperative characteristics and follow-up data were collected. A nomogram based on independent prognostic predictors was developed for survival prediction. In total, 114 (18.9%) and 48 (18.6%) patients were defined as being malnourished according to the GLIM criteria in the two cohorts, respectively. Multivariate regression analysis showed that GLIM-defined malnutrition was an independent risk factor of total complication (OR 1.661, 95% CI: 1.063–2.594) and overall survival (HR 2.339, 95% CI: 1.504–3.637). The c-index was 0.72 (95% CI: 0.66–0.79) and AUC were 0.800, 0.798, and 0.780 for 1-, 2-, and 3-year survival prediction, respectively. The calibration curves of the nomogram fit well. In conclusion, GLIM criteria can efficiently identify malnutrition and has a prognostic effect on clinical outcomes after cardiac surgery. GLIM-based nomogram has favorable performance in survival prediction.

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“…CABG aims to restore blood flow to the ischemic myocardium by bypassing atheromatous blockages in coronary arteries with harvested venous or arterial conduits and provides function restoration, viability and anginal symptom relief [ 3 ]. According to Melly et al [ 6 ], the average CABG incidence rate in western European countries is 62 per 100,000 inhabitants, and the prevalence of CAD is constantly increasing [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…CABG represents one of the most common cardiac surgeries worldwide and goes along with a significant decrease in QoL and cardiorespiratory fitness [ 7 , 16 ]. Therefore, it is crucial and inevitable to provide the best possible CR, for which, until today, no standard and international consensus exist.…”

Section: Introductionmentioning

confidence: 99%

The Comparison of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training after Coronary Artery Bypass Graft: A Systematic Review of Recent Studies

Schulté¹,

Nieborak²,

Leclercq³

et al. 2022

JCDD

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Currently, no international consensus on cardiac rehabilitation exists, leading to great variability in the intensity recommendations for training programs for cardiac patients, including those undergoing coronary artery bypass graft surgery (CABG). While some countries prefer the high-intensity interval training (HIIT) method to improve cardiorespiratory fitness, other countries opt for moderate-intensity continuous training (MICT). The aim of this systematic review was to compare the effects of HIIT and MICT on aerobic fitness and quality of life (QoL) in patients undergoing CABG with the intention of providing support for a consensus on exercise therapy. Methods: A systematic review of randomized controlled trials (RCTs) was conducted using the online publication databases PubMed, the Cochrane Library and the Bibliothèque nationale du Luxembourg (BnL) covering the last ten years to July 2022. Relevant identified studies respecting the inclusion/exclusion criteria were selected, screened and extracted by four reviewers. Furthermore, the methodological quality of the clinical trials was assessed using the PEDro scale, which was reinforced using the Cochrane Risk of Bias Tool for Randomized Trials (RoB2) for the evaluation of the risk of bias to provide more detail in the evaluation. The certainty of the evidence analysis was established using different levels of evidence in accordance with the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework. Results: A total of 379 patients from five RCTs diagnosed with coronary artery disease, including patients undergoing CABG, performed aerobic exercise over different time periods and were assessed based on peakVO2, VO₂max and QoL. Overall, both training methods provided improvements in cardiorespiratory fitness and quality of life, with greater changes in HIIT groups. Conclusion: Both trainings methods provide improvements in cardiorespiratory fitness and QoL, with greater increases from HIIT. The moderate quality of evidence supports the use of HIIT and MICT to improve cardiorespiratory fitness and QoL.

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Predictive Ability of European Heart Surgery Risk Assessment System II (EuroSCORE II) and the Society of Thoracic Surgeons (STS) Score for in-Hospital and Medium-Term Mortality of Patients Undergoing Coronary Artery Bypass Grafting

Cited by 13 publications

References 35 publications

Changes in risk factors trends in coronary surgery over the past decade - a single center validation

Changes in risk factors trends in coronary surgery over the past decade - a single center validation

Development and Validation of Global Leadership Initiative on Malnutrition for Prognostic Prediction in Patients Who Underwent Cardiac Surgery

The Comparison of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training after Coronary Artery Bypass Graft: A Systematic Review of Recent Studies

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