Document Detail


The performance of the EuroSCORE and the Society of Thoracic Surgeons mortality risk score: the gender factor.
MedLine Citation:
PMID:  17669807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to explore potential differences in the performance of the EuroSCORE and the STS mortality risk score in the prediction of operative mortality following cardiac surgery with special focus on the impact of gender. We retrospectively reviewed 3125 consecutive cases of coronary artery bypass surgery performed at our institution between 2001 and 2004. STS and EuroSCORE (logistic [E-log] and additive [E-add]) operative mortality risk scores were calculated for each patient and stratified by gender (female: n=692; male: n=2433). Mortality risk scores were compared between the STS and EuroSCORE using C-statistics and likelihood ratios (LR). Stratified by gender, the E-log and E-add correlated well with the STS (female: r=0.77, 0.78, P<0.001; male: r=0.78, 0.79, P<0.001). Using C-statistics generated from logistic regression, both EuroSCORE models correctly modeled operative mortality compared to the STS. Among male patients, the EuroSCORE C-statistic (E-log, 0.808; E-add, 0.809; STS, 0.796) performed more comparable to the STS than female patients (E-log, 0.853; E-add, 0.855; STS, 0.827). Our results suggest that both the STS risk scores and the EuroSCORE are good predictors for operative mortality with slight advantage for the STS risk score. Combined with the ease of use, we conclude that the EuroSCORE is another viable, bedside instrument for surgeons looking for a preoperative assessment of mortality risk, particularly in female patients undergoing cardiac surgery.
Authors:
Niv Ad; Scott D Barnett; Alan M Speir
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2007-01-11
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  6     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-08-02     Completed Date:  2007-08-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  192-5     Citation Subset:  IM    
Affiliation:
Cardiac Surgery Research, Inova Heart and Vascular Institute, Falls Church, VA 22042, USA. Niv.ad@inova.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Artery Bypass / mortality*
Coronary Artery Disease / mortality*,  surgery
Female
Health Status Indicators*
Humans
Likelihood Functions
Logistic Models
Male
Middle Aged
Mortality / trends
Practice Guidelines as Topic
Reproducibility of Results
Retrospective Studies
Risk Assessment
Risk Factors
Sex Distribution
Sex Factors
Societies, Medical*
Thoracic Surgery*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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