Validación prospectiva y multicéntrica del ArgenSCORE en la cirugía de reemplazo valvular aórtico. Comparación con el EuroSCORE I y el EuroSCORE II

Carosella, Victorio C.; Mastantuono, Christian; Golovonevsky, Valeria; Cohen, Valérie; Grancelli, Hugo; Rodríguez, Walter; Nojek, Carlos; Cárdenas, César

doi:10.7775/rac.es.v82.i1.3388

Cited by 5 publications

(2 citation statements)

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“…El desempeño de los modelos EuroSCORE II, STS y ArgenSCORE fue pobre y muy cercano a 0.5, lo cual si bien no se esperaba [19][20][21] no es raro, dado que en algunos estudios realizados para evaluar la capacidad de predicción de tales modelos el desempeño también ha sido pobre. Holiski et al, por ejemplo, encontraron una AUC de 0.86 para EuroSCORE II y de 0.64 para STS en pacientes alemanes 11 .…”

Section: Discussionunclassified

Capacidad del ArgenSCOR E para predecir mortalidad en pacientes mexicanos sometidos a cirugía cardiovascular abierta

Trujillo-Malo¹,

Gudiño-Carballo²,

Navarrete-Sandoval³

2021

RHJM

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permiten estimar la mortalidad asociada a cirugía cardiovascular, pero su desempeño es distinto entre poblaciones o estudios. Objetivo: Comparar la capacidad de EuroSCORE II, STS y ArgenSCORE para predecir mortalidad en pacientes mexicanos sometidos a cirugía cardiovascular abierta. Metodología: Se realizó un estudio observacional de cohorte prospectivo en pacientes que fueron sometidos a cirugía cardiovascular en el Hospital General Ignacio Zaragoza ingresados a la unidad de cuidados intensivos

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Section: Discussionunclassified

Capacidad del ArgenSCOR E para predecir mortalidad en pacientes mexicanos sometidos a cirugía cardiovascular abierta

Trujillo-Malo¹,

Gudiño-Carballo²,

Navarrete-Sandoval³

2021

RHJM

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“…Considering on the one hand a local score (the Ar-genSCORE) that has been validated and has demonstrated good statistical performance, better than other international models applied to local populations (2, 3, 16,17), and on the other, a multicenter registry showing the reality of cardiovascular surgery in Argentina, we designed this study to explore two hypotheses.…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular Surgery Risk Assessment in the “Real World”: ArgenSCORE Adjusted by Center

Carosella¹,

Grancelli²,

Stutzbach³

et al. 2021

Rev Argent Cardiol

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Background: The ArgenSCORE I was developed in 1999 on a population with 8% mortality. The ArgenSCORE II emerged after recalibrating the original model in 2007 on a validation population with 4% mortality. Using the CONAREC XVI registry, we evaluated the hypothesis that the ArgenSCORE II could better predict the risk of in-hospital mortality in centers with low mortality, whereas the ArgenSCORE I could better predict mortality in centers with high mortality. Methods: A total of 2548 patients from 44 centers of the prospective and multicenter cardiac surgery CONAREC XVI registry, were analyzed. Mean observed mortality (OM) and mean expected mortality (EM) were estimated applying both versions of the ArgenSCORE. The OM/EM ratio was calculated in each center for both models and the Z test was used to evaluate significant differences. Results: In-hospital mortality was 7.69% for the entire registry. In 75% of the centers (33/44) mortality was >6%. In centers with mortality <6%, the OM/EM ratio was close to 1 after applying the ArgenSCORE II, without significant differences. In centers with mortality > 6%, the ArgenSCORE II significantly underestimated the risk. On the contrary, when the ArgenSCORE I was applied in these centers, the OM/EM ratio was close to 1, without significant differences. Conclusions: The recalibrated ArgenSCORE II is recommended in centers with mortality < 6%, while in those with mortality > 6% the original ArgenSCORE I has better performance.

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Performance of the European System for Cardiac Operative Risk Evaluation II: A meta-analysis of 22 studies involving 145,592 cardiac surgery procedures

Guida

Mastro

Scrascia

et al. 2014

The Journal of Thoracic and Cardiovascular Surgery

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Validación prospectiva y multicéntrica del ArgenSCORE en la cirugía de reemplazo valvular aórtico. Comparación con el EuroSCORE I y el EuroSCORE II

Cited by 5 publications

References 0 publications

Capacidad del ArgenSCOR E para predecir mortalidad en pacientes mexicanos sometidos a cirugía cardiovascular abierta

Capacidad del ArgenSCOR E para predecir mortalidad en pacientes mexicanos sometidos a cirugía cardiovascular abierta

Cardiovascular Surgery Risk Assessment in the “Real World”: ArgenSCORE Adjusted by Center

Performance of the European System for Cardiac Operative Risk Evaluation II: A meta-analysis of 22 studies involving 145,592 cardiac surgery procedures

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