The logistic EuroSCORE in cardiac surgery: how well does it predict operative risk?

Bhatti, Farah; Grayson, Antony D.; Grotte, Geir J.; Fabri, Brian M.; Au, John; Jones, Mark T.; Bridgewater, Ben

doi:10.1136/hrt.2005.083204

Cited by 124 publications

(86 citation statements)

References 14 publications

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“…Multiple reports from different countries have demonstrated the EuroSCORE to significantly overestimate operative mortality for AVR [10][11][12][13]. With this study, we confirm that the EuroSCORE overestimates operative mortality for AVR in the Dutch population as well.…”

Section: Survival Estimatessupporting

confidence: 83%

Long-term outcomes of isolated aortic valve replacement and concomitant AVR and coronary artery bypass grafting

et al. 2012

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Background It is well established that concomitant aortic valve replacement (AVR) and coronary artery bypass grafting (CABG) has a higher operative mortality rate than isolated AVR. However, studies report conflicting results on the long-term mortality. The aim of this prospective study was to explore and compare the outcomes and risk factors of isolated AVR and concomitant AVR and CABG in a consecutive Dutch patient population.

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Section: Survival Estimatessupporting

confidence: 83%

Long-term outcomes of isolated aortic valve replacement and concomitant AVR and coronary artery bypass grafting

et al. 2012

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“…20,21 Patients were evaluated by a team of calibrated dentists who determined oral health status and specific dental treatment needs before surgery. The patients were then enrolled in a protocol for oral decontamination, which consisted of instructing the patient on oral hygiene using the modified Bass technique.…”

Section: Methodsmentioning

confidence: 99%

Effect of Oral Hygiene and 0.12% Chlorhexidine Gluconate Oral Rinse in Preventing Ventilator-Associated Pneumonia After Cardiovascular Surgery

et al. 2013

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BACKGROUND: Ventilator-associated pneumonia (VAP) is a nosocomial infection of multifactorial etiology and has a negative influence on cardiovascular surgery (CVS) outcomes. OBJECTIVES: Determine the effect of toothbrushing plus 0.12% chlorhexidine gluconate oral rinse in preventing VAP after CVS. METHODS: In a quasi-experimental study, patients undergoing heart surgery were enrolled in a protocol for controlling dental biofilm by proper oral hygiene (toothbrushing) and oral rinses with 0.12% chlorhexidine gluconate (Group 1), and they were compared with a historical control group (Group 2), which included patients who underwent cardiac surgery be-

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“…These results are in keeping with recent evidence which suggests that the logistic EuroSCORE over estimates mortality, and requires recalibration. 25 The SYNTAX trial has also shown that early outcomes after PCI are related to initial lesion characteristics, however new evidence also suggests that these early outcomes after PCI can be influenced by adverse patient characteristics as assessed by the EuroSCORE. 26,27 Clearly, the late outcomes after PCI are determined by the need for repeat revascularisation.…”

mentioning

confidence: 99%

Influence of age on the clinical outcomes of coronary revascularisation for the treatment of patients with multivessel de novo coronary artery lesions: sirolimus-eluting stent vs. coronary artery bypass surgery and bare metal stent, insight from the multicentre randomised Arterial Revascularisation Therapy Study Part I (ARTS-I) and Part II (ARTS-II)

et al. 2011

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Aims: We sought to evaluate the prognostic impact of age on the procedural results and subsequent clinical outcomes in patients with multivessel disease (MVD) treated either by coronary artery bypass surgery (CABG) or by percutaneous coronary intervention (PCI) with or without drug eluting stents, based on data of the Arterial Revascularisation Therapies Study (ARTS) part I and part II. The potential influence of age in determining the most appropriate revascularisation strategy for patients with MVD is largely unknown. Methods and results: Three year clinical outcome of ARTS I patients randomised to PCI with bare metal stent (BMS) (n= 600) or CABG (n= 605), and matched patients treated by PCI with sirolimus-eluting stents (SES) in ARTS II (n= 607) were reviewed according to four age quartiles. Endpoints were measured in terms of major adverse cardiac and cerebrovascular events MACCE) during hospital stay and up to three years. The frequency of female, diabetes, hypertension, peripheral vascular disease, pulmonary disease, as well as lesion complexity increased with age. At three years, MACCE free survival was comparable between patients treated by CABG or SES PCI, regardless of age quartile. The incidence of MACCE was higher among ARTS I BMS treated patients in all but the second age quartile. This was primarily related to a higher need for repeat revascularisation among BMS treated patients. However, age, which emerged as a strong independent predictor of MACCE following CABG (p<0.005), was not predictive of adverse events following PCI. Conversely, diabetes was the strongest independent predictor of MACCE among PCI treated patients (p<0.02), but didn't affect three-year outcomes following CABG. Conclusions: Age seems to influence the CABG outcome in-hospital but not PCI. PCI-SES could offer lower immediate risk in patients with MVD and comparable long-term outcome as CABG especially in older patients. The worst outcome of PCI-BMS group is primarily related to the need for repeat revascularisation. Diabetes is the most important predictor of MACCE following PCI.

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The logistic EuroSCORE in cardiac surgery: how well does it predict operative risk?

Cited by 124 publications

References 14 publications

Long-term outcomes of isolated aortic valve replacement and concomitant AVR and coronary artery bypass grafting

Long-term outcomes of isolated aortic valve replacement and concomitant AVR and coronary artery bypass grafting

Effect of Oral Hygiene and 0.12% Chlorhexidine Gluconate Oral Rinse in Preventing Ventilator-Associated Pneumonia After Cardiovascular Surgery

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