Evidence map›Paper›PMID 19141560›Full record

SynthesisEuropean heart journal2009

Performance of EuroSCORE in CABG and off-pump coronary artery bypass grafting: single institution experience and meta-analysis.

Alessandro Parolari, Lorenzo L Pesce, Matteo Trezzi, Claudia Loardi, Samer Kassem, Claudio Brambillasca, Bruno Miguel, Elena Tremoli, Paolo Biglioli, Francesco Alamanni

Abstract readEvaluation StudyMeta-AnalysisReview
In one paragraph

Synthesis in European heart journal, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Prospective validation of the EuroSCORE II risk model in a single Dutch cardiac surgery centre.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2018
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Validation of EuroSCORE II on a single-centre 3800 patient cohort.Interactive cardiovascular and thoracic surgery · 2013
    Article
  13. Article
  14. Accuracy of two scoring systems for risk stratification in thoracic surgery.Interactive cardiovascular and thoracic surgery · 2012
    Article
  15. Impact of type of procedure and surgeon on EuroSCORE operative risk validation.Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alessandro ParolariDepartment of Cardiac Surgery, Unit for Clinical Research in Atherothrombosis, Centro Cardiologico Monzino IRCCS, University of Milan, Via Parea, 4, 20138 Milan, Italy. alessandro.parolari@cardiologicomonzino.it
Lorenzo L Pesce
Matteo Trezzi
Claudia Loardi
Samer Kassem
Claudio Brambillasca
Bruno Miguel
Elena Tremoli
Paolo Biglioli
Francesco Alamanni

Funding

NICHD NIH HHS HHSN267200700039CPHS HHS HHSN267200700039C
6 · The paper itself

Abstract

aimsTo assess EuroSCORE performance in predicting in-hospital mortality in on-pump coronary artery bypass grafting (CABG) and off-pump coronary artery bypass grafting (OPCAB). METHODS AND

resultsAdditive and logistic EuroSCORE were computed for consecutive patients undergoing CABG (n = 3440, 75%) or OPCAB (n = 1140, 25%) at our hospital from 1999 to September 2007. The areas under the receiver operating characteristic (ROC) curves (AUCs) were used to describe performance and accuracy. No difference in performance between CABG and OPCAB and between additive and logistic EuroSCORE (additive EuroSCORE AUCs of 0.808 and 0.779 for CABG and OPCAB, respectively; logistic EuroSCORE AUCs of 0.813 and of 0.773 for CABG and OPCAB, respectively) was found, although a marked tendency to overpredict mortality by both models was evident. A meta-analysis of previously published data was done, and a total of eight studies representing 19 212 and 5461 patients undergoing CABG and OPCAB, respectively, met inclusion criteria. Meta-analysis confirmed similar performance of EuroSCORE in CABG and OPCAB: estimated AUCs were 0.767 and 0.766 for CABG and OPCAB, respectively, with an estimated difference of 0.001 (95% CI -0.061 to 0.063).

conclusionAdditive and logistic EuroSCORE algorithms performed similarly, and cumulative evidence suggests comparable performance in CABG and OPCAB procedures; both risk models, however, significantly overestimated mortality.

Indexed as

AgedCardiopulmonary BypassCoronary Artery BypassCoronary Artery Bypass, Off-PumpCoronary DiseaseEpidemiologic MethodsFemaleHumansItalyMaleMiddle AgedPrognosis

Identifiers

PMID19141560
PMCPMC2733735

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.