Risk stratification in heart surgery: comparison of six score systems

Abstract

Among the investigated scores, the Euro score yielded the highest predictive value in our patient population. For most risk factors, predictive values for morbidity were substantially different from predictive values for mortality. Therefore, development of specific morbidity risk scores may improve prediction of outcome and hospital cost. Due to the heterogeneity of morbidity events, future score systems may have to generate separate predictions for mortality and major morbidity events.

Quality of Life in Relation to Length of Intensive Care Unit Stay After Cardiac Surgery

“…26,27,29,31 There are 6 cardiac risk scoring systems that estimate mortality and morbidity. 41 Risk assessment is only an estimate, and many high-risk patients do well, and some low-risk may fare worse. If a proper evaluation of the outcome in patients with complicated cases is to be made, it should include more than surgical mortality and morbidity.…”

Serum creatinine role in predicting outcome after cardiac surgery beyond acute kidney injury

“…Predictor models for AKI are also not consistent: although most of them have reported preoperative renal insufficiency as a risk factor, their definitions for renal insufficiency are largely diverse from baseline creatinine of 1.5 mg/dL and eGFR of 60 mL/min as cut off points for dialysis dependency [48] . This holds true for most of the predictor models of outcome in cardiac surgery that have included preoperative renal insufficiency as a predictor [3,4,49] . Proteinuria, the most prevalent parameter used in the definition of CKD, is also absent in most of them due to a lack of data on urinalysis [5] .…”

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].…”