Evidence map›Paper›PMID 23178391›Full record

ArticleInteractive cardiovascular and thoracic surgery2013

Validation of EuroSCORE II on a single-centre 3800 patient cohort.

Manuel Carnero-Alcázar, Jacobo Alberto Silva Guisasola, Fernando José Reguillo Lacruz, Luis Carlos Maroto Castellanos, Javier Cobiella Carnicer, Enrique Villagrán Medinilla, Teresa Tejerina Sánchez, José Enrique Rodríguez Hernández

Open access · bronzeAbstract readComparative StudyValidation Study
In one paragraph

Article in Interactive cardiovascular and thoracic surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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
  8. Article
  9. Observational
  10. Validation of EuroSCORE II risk model for coronary artery bypass surgery in high-risk patients.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2014
    Article
  11. Article
  12. Observational
  13. Article
  14. Use of EuroSCORE as a predictor of morbidity after cardiac surgery.Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular
    Observational
  15. EuroSCORE II and the importance of a local model, InsCor and the future SP-SCORE.Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular
    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

8 authors at 2 institutions in 1 country.

Manuel Carnero-AlcázarDepartment of Cardiac Surgery, Hospital Clínico San Carlos, Madrid, Spain. manuelcarneroalcazar@hotmail.es
Jacobo Alberto Silva Guisasola
Fernando José Reguillo Lacruz
Luis Carlos Maroto Castellanos
Javier Cobiella Carnicer
Enrique Villagrán Medinilla
Teresa Tejerina Sánchez
José Enrique Rodríguez Hernández
Hospital Clínico San Carlos · ESUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare and validate the new European System for Cardiac Operative Risk Evaluation (EuroSCORE) II with EuroSCORE at our institution.

methodsThe logistic EuroSCORE and EuroSCORE II were calculated on the entire patient cohort undergoing major cardiac surgery at our centre between January 2005 and December 2010. The goodness of fit was compared by means of the Hosmer-Lemeshow (HL) chi-squared test and the area under the curve (AUC) of the receiver operating characteristic curves of both scales applied to the same sample of patients. These analyses were repeated and stratified by the type of surgery.

resultsMortality of 5.66% was observed, with estimated mortalities according to logistic EuroSCORE and EuroSCORE II of 9 and 4.46%, respectively. The AUC for EuroSCORE (0.82, 95% confidence interval [CI] 0.79-0.85) was lower than that for EuroSCORE II (0.85, 95% CI 0.83-0.87) without the differences being statistically significant (P = 0.056). Both scales showed a good discriminative capacity for all the pathologies subgroups. The two scales showed poor calibration in the sample: EuroSCORE (χ(2) = 39.3, P(HL) < 0.001) and EuroSCORE II (χ(2) = 86.69, P(HL) < 0.001). The calibration of EuroSCORE was poor in the groups of patients undergoing coronary (P(HL) = 0.01), valve (P(HL) = 0.01) and combined coronary valve surgery (P(HL) = 0.012); and that of EuroSCORE II in the group of coronary (P(HL) = 0.001) and valve surgery (P(HL) < 0.001) patients.

conclusionsEuroSCORE II demonstrated good discriminative capacity and poor calibration in the patients undergoing major cardiac surgery at our centre.

Indexed as

Decision Support TechniquesAgedArea Under CurveCardiac Surgical ProceduresChi-Square DistributionDiscriminant AnalysisFemaleHumansLogistic ModelsMaleMiddle AgedReproducibility of ResultsRetrospective StudiesRisk AssessmentRisk FactorsROC Curve

Identifiers

PMID23178391
PMCPMC3568804
OpenAlexW2116549886

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.