دورية أكاديمية
Validation of EuroSCORE II on a single-centre 3800 patient cohort.
| العنوان: | Validation of EuroSCORE II on a single-centre 3800 patient cohort. |
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| المؤلفون: | Carnero-Alcázar M; Department of Cardiac Surgery, Hospital Clínico San Carlos, Madrid, Spain. manuelcarneroalcazar@hotmail.es, Silva Guisasola JA, Reguillo Lacruz FJ, Maroto Castellanos LC, Cobiella Carnicer J, Villagrán Medinilla E, Tejerina Sánchez T, Rodríguez Hernández JE |
| المصدر: | Interactive cardiovascular and thoracic surgery [Interact Cardiovasc Thorac Surg] 2013 Mar; Vol. 16 (3), pp. 293-300. Date of Electronic Publication: 2012 Nov 23. |
| نوع المنشور: | Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Validation Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101158399 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1569-9285 (Electronic) Linking ISSN: 15699285 NLM ISO Abbreviation: Interact Cardiovasc Thorac Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2012-2022 : Oxford, England : Oxford University Press Original Publication: Amsterdam, The Netherlands ; New York : Elsevier Science, c2002- |
| مواضيع طبية MeSH: | Decision Support Techniques*, Cardiac Surgical Procedures/*mortality, Aged ; Area Under Curve ; Cardiac Surgical Procedures/adverse effects ; Chi-Square Distribution ; Discriminant Analysis ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; ROC Curve ; Reproducibility of Results ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Spain ; Treatment Outcome |
| مستخلص: | Objectives: To compare and validate the new European System for Cardiac Operative Risk Evaluation (EuroSCORE) II with EuroSCORE at our institution. Methods: The logistic EuroSCORE and EuroSCORE II were calculated on the entire patient cohort undergoing major cardiac surgery at our centre between January 2005 and December 2010. The goodness of fit was compared by means of the Hosmer-Lemeshow (HL) chi-squared test and the area under the curve (AUC) of the receiver operating characteristic curves of both scales applied to the same sample of patients. These analyses were repeated and stratified by the type of surgery. Results: Mortality of 5.66% was observed, with estimated mortalities according to logistic EuroSCORE and EuroSCORE II of 9 and 4.46%, respectively. The AUC for EuroSCORE (0.82, 95% confidence interval [CI] 0.79-0.85) was lower than that for EuroSCORE II (0.85, 95% CI 0.83-0.87) without the differences being statistically significant (P = 0.056). Both scales showed a good discriminative capacity for all the pathologies subgroups. The two scales showed poor calibration in the sample: EuroSCORE (χ(2) = 39.3, P(HL) < 0.001) and EuroSCORE II (χ(2) = 86.69, P(HL) < 0.001). The calibration of EuroSCORE was poor in the groups of patients undergoing coronary (P(HL) = 0.01), valve (P(HL) = 0.01) and combined coronary valve surgery (P(HL) = 0.012); and that of EuroSCORE II in the group of coronary (P(HL) = 0.001) and valve surgery (P(HL) < 0.001) patients. Conclusions: EuroSCORE II demonstrated good discriminative capacity and poor calibration in the patients undergoing major cardiac surgery at our centre. |
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| تواريخ الأحداث: | Date Created: 20121127 Date Completed: 20130726 Latest Revision: 20240512 |
| رمز التحديث: | 20240512 |
| مُعرف محوري في PubMed: | PMC3568804 |
| DOI: | 10.1093/icvts/ivs480 |
| PMID: | 23178391 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1569-9285 |
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| DOI: | 10.1093/icvts/ivs480 |