EuroSCORE II and the importance of a local model, InsCor and the future SP-SCORE

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorLISBOA, Luiz Augusto Ferreira
dc.contributor.authorMEJIA, Omar Asdrubal Vilca
dc.contributor.authorMOREIRA, Luiz Felipe Pinho
dc.contributor.authorDALLAN, Luis Alberto Oliveira
dc.contributor.authorPOMERANTZEFF, Pablo Maria Alberto
dc.contributor.authorDALLAN, Luis Roberto Palma
dc.contributor.authorMASSOTI, Maria Raquel B.
dc.contributor.authorJATENE, Fabio B.
dc.date.accessioned2014-09-30T14:38:51Z
dc.date.available2014-09-30T14:38:51Z
dc.date.issued2014
dc.description.abstractIntroduction: The most widely used model for predicting mortality in cardiac surgery was recently remodeled, but the doubts regarding its methodology and development have been reported. Objective: The aim of this study was to evaluate the performance of the EuroSCORE II to predict mortality in patients undergoing coronary artery bypass grafts or valve surgery at our institution. Methods: One thousand consecutive patients operated on coronary artery bypass grafts or valve surgery, between October 2008 and July 2009, were analyzed. The outcome of interest was in-hospital mortality. Calibration was performed by correlation between observed and expected mortality by Hosmer Lemeshow. Discrimination was calculated by the area under the ROC curve. The performance of the EuroSCORE II was compared with the EuroSCORE and InsCor (local model). Results: In calibration, the Hosmer Lemeshow test was inappropriate for the EuroSCORE II (P=0.0003) and good for the EuroSCORE (P=0.593) and InsCor (P=0.184). However, the discrimination, the area under the ROC curve for EuroSCORE II was 0.81 [95% CI (0.76 to 0.85), P<0.001], for the EuroSCORE was 0.81 [95% CI (0.77 to 0.86), P<0.001] and for InsCor was 0.79 [95% CI (0.74-0.83), P<0.001] showing up properly for all. Conclusion: The EuroSCORE II became more complex and resemblance to the international literature poorly calibrated to predict mortality in patients undergoing coronary artery bypass grafts or valve surgery at our institution. These data emphasize the importance of the local model.
dc.description.indexMEDLINE
dc.identifier.citationREVISTA BRASILEIRA DE CIRURGIA CARDIOVASCULAR, v.29, n.1, p.1-8, 2014
dc.identifier.doi10.5935/1678-9741.20140004
dc.identifier.eissn1678-9741
dc.identifier.issn0102-7638
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/7440
dc.language.isopor
dc.language.isopor
dc.publisherSOC BRASIL CIRURGIA CARDIOVASC
dc.relation.ispartofRevista Brasileira de Cirurgia Cardiovascular
dc.rightsopenAccess
dc.rights.holderCopyright SOC BRASIL CIRURGIA CARDIOVASC
dc.subjectRisk Factors
dc.subjectCardiovascular Surgical Procedures
dc.subjectCoronary Artery Bypass
dc.subjectMyocardial Revascularization
dc.subjectCoronary Disease
dc.subjectHeart Valve Diseases
dc.subject.otherbypass graft-surgery
dc.subject.othercardiac-surgery
dc.subject.otherrisk stratification
dc.subject.otherprognostic model
dc.subject.otherheart institute
dc.subject.otheroutcomes
dc.subject.othervalidation
dc.subject.othermortality
dc.subject.othercohort
dc.subject.othervalve
dc.subject.wosCardiac & Cardiovascular Systems
dc.subject.wosSurgery
dc.titleEuroSCORE II and the importance of a local model, InsCor and the future SP-SCORE
dc.title.alternative"EuroSCORE II e a importância de um modelo local, InsCor e o futuro SP-SCORE"
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus19
hcfmusp.contributor.author-fmusphcLUIZ AUGUSTO FERREIRA LISBOA
hcfmusp.contributor.author-fmusphcOMAR ASDRUBAL VILCA MEJIA
hcfmusp.contributor.author-fmusphcLUIZ FELIPE PINHO MOREIRA
hcfmusp.contributor.author-fmusphcLUIS ALBERTO OLIVEIRA DALLAN
hcfmusp.contributor.author-fmusphcPABLO MARIA ALBERTO POMERANTZEFF
hcfmusp.contributor.author-fmusphcLUIS ROBERTO PALMA DALLAN
hcfmusp.contributor.author-fmusphcMARIA RAQUEL BRIGONI MASSOTI
hcfmusp.contributor.author-fmusphcFABIO BISCEGLI JATENE
hcfmusp.description.beginpage1
hcfmusp.description.endpage8
hcfmusp.description.issue1
hcfmusp.description.volume29
hcfmusp.origemWOS
hcfmusp.origem.pubmed24896156
hcfmusp.origem.scieloSCIELO:S0102-76382014000100004
hcfmusp.origem.scopus2-s2.0-84901916101
hcfmusp.origem.wosWOS:000336697400004
hcfmusp.publisher.citySAO PAULO SP
hcfmusp.publisher.countryBRAZIL
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hcfmusp.scopus.lastupdate2024-05-10
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