| Predictive value of EuroSCORE on long term outcome in cardiac surgery patients: a single institution study. | |
| | |
MedLine Citation:
|
PMID: 15894777 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To assess the value of the European system for cardiac operative risk evaluation (EuroSCORE), a validated model for prediction of in-hospital mortality after cardiac surgery, in predicting long term event-free survival. DESIGN AND SETTING: Single institution observational cohort study. PATIENTS: Adult patients (n = 1230) who underwent cardiac surgery between January 2000 and August 2002. RESULTS: Mean age was 65 (11) years and 32% were women. Type of surgery was isolated coronary artery bypass grafting in 62%, valve surgery in 23%, surgery on the thoracic aorta in 4%, and combined or other procedures in 11%. Mean EuroSCORE was 4.53 (3.16) (range 0-21); 366 were in the low (0-2), 442 in the medium (3-5), 288 in the high (6-8), and 134 in the very high risk group (> or = 9). Information on deaths or events leading to hospital admission after the index discharge was obtained from the Regional Health Database. Out of hospital deaths were identified through the National Death Index. In-hospital 30 day mortality was 2.8% (n = 34). During 2024 person-years of follow up, 44 of 1196 patients discharged alive (3.7%) died. By Cox multivariate analysis, EuroSCORE was the single best independent predictor of long term all cause mortality (hazard ratio (HR) 1.55, 95% confidence interval (CI) 1.03 to 2.34, p < 0.0001). In the time to first event analysis, 227 either died without previous events (n = 20, 9%) or were admitted to hospital for an event (n = 207, 91%). EuroSCORE (HR 1.60, 95% CI 1.36 to 1.89, p < 0.0001), the presence of > or = 2 co-morbidities versus one (HR 1.49, 95% CI 1.09 to 2.02, p < 0.0001), and > 96 hours' stay in the intensive care unit after surgery (HR 2.04, 95% CI 1.42 to 2.95, p = 0.0001) were independently associated with the combined end point of death or hospital admission after the index discharge. CONCLUSIONS: EuroSCORE and a prolonged intensive care stay after surgery are associated with long term event-free survival and can be used to tailor long term postoperative follow up and plan resource allocation for the cardiac surgical patient. |
| | |
Authors:
|
R De Maria; M Mazzoni; M Parolini; D Gregori; F Bortone; V Arena; O Parodi |
Related Documents
:
|
19880277 - Left ventricular ejection time on echocardiography predicts long-term mortality in ligh... 16820607 - Impact of internal mammary artery conduit on long-term outcomes after percutaneous inte... 17322087 - C-reactive protein predicts future cardiovascular events in patients with carotid steno... 12720587 - Myocardial infarction risk in relation to zinc concentration in toenails. 10832557 - The use of myocardial contrast echocardiography in clinical evaluation after myocardial... 8919187 - Pseudoaneurysm and ventricular septal rupture complicated with inferior myocardial infa... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Heart (British Cardiac Society) Volume: 91 ISSN: 1468-201X ISO Abbreviation: Heart Publication Date: 2005 Jun |
Date Detail:
|
Created Date: 2005-05-16 Completed Date: 2005-07-07 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 9602087 Medline TA: Heart Country: England |
Other Details:
|
Languages: eng Pagination: 779-84 Citation Subset: AIM; IM |
Affiliation:
|
CNR Clinical Physiology Institute, Section of Milan, Niguarda Cà Granda Hospital, Piazza Ospedale Maggiore, 3-20162 Milan, Italy. ifcnig@tin.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Cardiac Surgical Procedures / mortality* Disease-Free Survival Female Hospital Mortality* Humans Length of Stay Male Middle Aged Predictive Value of Tests Risk Assessment / standards |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: N-acetylcysteine does not prevent contrast induced nephropathy after cardiac catheterisation with an...
Next Document: Subxiphoid pericardiostomy in the management of pericardial effusions: case series analysis of 368 p...