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

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Citações na Scopus
19
Tipo de produção
article
Data de publicação
2014
DOI
SciELO
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SOC BRASIL CIRURGIA CARDIOVASC
Autores
Citação
REVISTA BRASILEIRA DE CIRURGIA CARDIOVASCULAR, v.29, n.1, p.1-8, 2014
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Introduction: 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.
Palavras-chave
Risk Factors, Cardiovascular Surgical Procedures, Coronary Artery Bypass, Myocardial Revascularization, Coronary Disease, Heart Valve Diseases
URI
https://observatorio.fm.usp.br/handle/OPI/7440
Referências
  1. Altman DG, 2009, BRIT MED J, V338, DOI 10.1136/bmj.b605
  2. Altman DG, 2000, STAT MED, V19, P453, DOI 10.1002/(SICI)1097-0258(20000229)19:4<453::AID-SIM350>3.3.CO;2-X
  3. Andrade ING, 2010, REV BRAS CIR CARDIOV, V25, P11, DOI 10.1590/S0102-76382010000100007
  4. Carnero-Alcazar M, 2013, INTERACT CARDIOV TH, V16, P293, DOI 10.1093/icvts/ivs480
  5. Chalmers J, 2013, EUR J CARDIO-THORAC, V43, P688, DOI 10.1093/ejcts/ezs406
  6. Collins GS, 2013, EUR J CARDIO-THORAC, V43, P871, DOI 10.1093/ejcts/ezs562
  7. Hannan EL, 2012, J AM COLL CARDIOL, V59, P2309, DOI 10.1016/j.jacc.2011.12.051
  8. Hannan EL, 2013, ANN THORAC SURG, V95, P1282, DOI 10.1016/j.athoracsur.2012.11.019
  9. Kolh P, 2012, EUR J CARDIO-THORAC, V41, P983, DOI 10.1093/ejcts/ezs023
  10. Kunt AG, 2013, INTERACT CARDIOV TH, V16, P625, DOI 10.1093/icvts/ivt022
  11. Lisboa Luiz Augusto F, 2010, Arq Bras Cardiol, V94, P162
  12. Mejía Omar A V, 2013, Arq Bras Cardiol, V100, P246, DOI 10.5935/abc.20130043
  13. Mejia OAV, 2012, REV BRAS CIR CARDIOV, V27, pXII, DOI 10.5935/1678-9741.20120032
  14. Mejia OAV, 2013, REV BRAS CIR CARDIOV, V28, P263, DOI 10.5935/1678-9741.20130037
  15. Mejia OAV, 2012, REV BRAS CIR CARDIOV, V27, P187, DOI 10.5935/1678-9741.20120033
  16. Moraes Fernando, 2006, Rev Bras Cir Cardiovasc, V21, P29, DOI 10.1590/S0102-76382006000100007
  17. Nashef SAM, 1999, EUR J CARDIO-THORAC, V16, P9, DOI 10.1016/S1010-7940(99)00134-7
  18. Nashef SAM, 2010, KARDIOL POL, V68, P128
  19. Nashef SAM, 2012, EUR J CARDIO-THORAC, V41, P734, DOI 10.1093/ejcts/ezs043
  20. Nezic D, 2013, EUR J CARDIO-THORAC, V43, P206, DOI 10.1093/ejcts/ezs346
  21. Ranucci M, 2011, J THORAC CARDIOV SUR, V142, P581, DOI 10.1016/j.jtcvs.2010.11.064
  22. Sa MPBD, 2012, REV BRAS CIR CARDIOV, V27, P1, DOI 10.5935/1678-9741.20120003
  23. Sergeant P, 2012, EUR J CARDIO-THORAC, V41, P729, DOI 10.1093/ejcts/ezs057
  24. Shahian DM, 2008, CIRCULATION, V117, P1955, DOI 10.1161/CIRCULATIONAHA.107.747873
  25. Takkenberg JJM, 2013, EUR J CARDIO-THORAC, V43, P32, DOI 10.1093/ejcts/ezs271
  26. Tu JV, 1997, J AM COLL CARDIOL, V30, P1317, DOI 10.1016/S0735-1097(97)00295-7

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/11
Artigos e Materiais de Revistas Científicas - ODS/03