ArticleClinical research in cardiology : official journal of the German Cardiac Society2009
EuroSCORE overestimates the risk of cardiac surgery: results from the national registry of the German Society of Thoracic and Cardiovascular Surgery.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic review and meta-analysis of mortality risk prediction models in adult cardiac surgery.Interactive cardiovascular and thoracic surgery · 2021Pooled it
- Artificial Intelligence for Predicting Perioperative Outcomes in Cardiac Surgery: A Systematic Review.Innovations (Philadelphia, Pa.)Pooled it
- Interpretable machine learning to predict postoperative adverse outcomes in cardiac surgery.BMC anesthesiology · 2026Article
- A machine learning algorithm-based risk prediction score for in-hospital/30-day mortality after adult cardiac surgery.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024Article
- Development of a prognostic nomogram for patients underwent extracorporeal circulation auxiliary to open cardiac surgery on hospital mortality: a retrospective cohort study.Journal of thoracic disease · 2024Article
- Comparison of machine learning techniques in prediction of mortality following cardiac surgery: analysis of over 220 000 patients from a large national database.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2023Article
- Development of machine learning models for mortality risk prediction after cardiac surgery.Cardiovascular diagnosis and therapy · 2022Article
- Construction and validation of a nomogram for predicting survival in elderly patients with cardiac surgery.Frontiers in public health · 2022Article
- Machine Learning Methods for Predicting Long-Term Mortality in Patients After Cardiac Surgery.Frontiers in cardiovascular medicine · 2022Article
- UK Trainee Cardiothoracic Surgeons' Perceptions of Public Outcome Reporting in Surgery: A Mixed-Methods Study.Cureus · 2021Article
- Preoperative Lymphocyte-to-Monocyte Ratio as a Prognostic Predictor of Long-Term Mortality in Cardiac Surgery Patients: A Propensity Score Matching Analysis.Frontiers in cardiovascular medicine · 2021Article
- Transvascular transcatheter aortic valve implantation in 2017.Clinical research in cardiology : official journal of the German Cardiac Society · 2020Article
- Risk Stratification for Transcatheter Aortic Valve Replacement.Cardiology research · 2019Review
- Outcome after transvascular transcatheter aortic valve implantation in 2016.European heart journal · 2018Article
- Trends in aortic valve replacement in Germany in 2015: transcatheter versus isolated surgical aortic valve repair.Clinical research in cardiology : official journal of the German Cardiac Society · 2017Article
- Article
- Applicability of two international risk scores in cardiac surgery in a reference center in Brazil.Arquivos brasileiros de cardiologia · 2014Article
- The novel EuroSCORE II algorithm predicts the hospital mortality of thoracic aortic surgery in 461 consecutive Japanese patients better than both the original additive and logistic EuroSCORE algorithms.Interactive cardiovascular and thoracic surgery · 2014Article
- Impact of extracardiac vascular disease on vein graft failure and outcomes after coronary artery bypass surgery.The Annals of thoracic surgery · 2014Article
- Can postoperative mean transprosthetic pressure gradient predict survival after aortic valve replacement?Clinical research in cardiology : official journal of the German Cardiac Society · 2014Observational
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9 authors.
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Abstract
objectiveThe EuroSCORE risk stratification model has been developed in 1995 and is still widely used to assess individual patient risk prior to cardiac surgery. Furthermore, the score advanced to a decision tool to determine so-called "high-risk patients" and in consequence serves as an important selection criterion in new technologies, such as the catheter-based aortic valve replacement. Several studies with relatively small patient numbers showed a substantial overestimation of risk by the EuroSCORE. The aim of our study was to evaluate whether the nationwide data support this finding.
methodsA subgroup of the registry of the German Society of Thoracic and Cardiovascular Surgery from 2006 and 2007, with 32,806 patients undergoing isolated coronary surgery and isolated aortic valve replacement was investigated.
resultsThe overall hospital mortality in isolated coronary surgery in this patient cohort (n = 26,501 patients) was 2.6% (n = 695). The overall hospital mortality in isolated aortic valve replacement in this patient cohort (n = 6,305 patients) was 3.9% (n = 245). The logistic EuroSCORE predicted a proportion of 5.2% for patients with isolated CABG and 7.3% for patients with isolated aortic valve replacement. The area under the receiver operating characteristic curve was 0.77 for isolated CABG procedures and 0.69 for isolated valve procedures, supporting the substantial lack of predictive value of the EuroSCORE.
conclusionThe logistic EuroSCORE insufficiently evaluates the risk of the current patient population and therefore should be carefully used as a tool for important therapeutic decision-making.
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