دورية أكاديمية
Applicability of two international risk scores in cardiac surgery in a reference center in Brazil.
| العنوان: | Applicability of two international risk scores in cardiac surgery in a reference center in Brazil. |
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| المؤلفون: | Garofallo SB, Machado DP, Rodrigues CG, Bordim O Jr, Kalil RA, Portal VL |
| المصدر: | Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2014 Jun; Vol. 102 (6), pp. 539-48. Date of Electronic Publication: 2014 May 27. |
| نوع المنشور: | Evaluation Study; Journal Article |
| اللغة: | English; Portuguese |
| بيانات الدورية: | Publisher: Sociedad Brasileira De Cardiologia Country of Publication: Brazil NLM ID: 0421031 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1678-4170 (Electronic) Linking ISSN: 0066782X NLM ISO Abbreviation: Arq Bras Cardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Sao Paulo : Sociedad Brasileira De Cardiologia |
| مواضيع طبية MeSH: | Hospital Mortality*, Coronary Artery Bypass/*mortality , Heart Valve Diseases/*surgery , Risk Assessment/*methods, Aged ; Brazil ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Postoperative Complications ; Reference Values ; Reproducibility of Results ; Retrospective Studies ; Risk Factors ; Sensitivity and Specificity |
| مستخلص: | Background: The applicability of international risk scores in heart surgery (HS) is not well defined in centers outside of North America and Europe. Objective: To evaluate the capacity of the Parsonnet Bernstein 2000 (BP) and EuroSCORE (ES) in predicting in-hospital mortality (IHM) in patients undergoing HS at a reference hospital in Brazil and to identify risk predictors (RP). Methods: Retrospective cohort study of 1,065 patients, with 60.3% patients underwent coronary artery bypass grafting (CABG), 32.7%, valve surgery and 7.0%, CABG combined with valve surgery. Additive and logistic scores models, the area under the ROC (Receiver Operating Characteristic) curve (AUC) and the standardized mortality ratio (SMR) were calculated. Multivariate logistic regression was performed to identify the RP. Results: Overall mortality was 7.8%. The baseline characteristics of the patients were significantly different in relation to BP and ES. AUCs of the logistic and additive BP were 0.72 (95% CI, from 0.66 to 0.78 p = 0.74), and of ES they were 0.73 (95% CI; 0.67 to 0.79 p = 0.80). The calculation of the SMR in BP was 1.59 (95% CI; 1.27 to 1.99) and in ES, 1.43 (95% CI; 1.14 to 1.79). Seven RP of IHM were identified: age, serum creatinine > 2.26 mg/dL, active endocarditis, systolic pulmonary arterial pressure > 60 mmHg, one or more previous HS, CABG combined with valve surgery and diabetes mellitus. Conclusion: Local scores, based on the real situation of local populations, must be developed for better assessment of risk in cardiac surgery. |
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| تواريخ الأحداث: | Date Created: 20140709 Date Completed: 20150406 Latest Revision: 20211021 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC4079017 |
| DOI: | 10.5935/abc.20140064 |
| PMID: | 25004415 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1678-4170 |
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| DOI: | 10.5935/abc.20140064 |