ArticleInteractive cardiovascular and thoracic surgery2014
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.
Article in Interactive cardiovascular and thoracic surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review and meta-analysis of mortality risk prediction models in adult cardiac surgery.Interactive cardiovascular and thoracic surgery · 2021Pooled it
- Predictive Value of MELD Score and Charlson Comorbidity Index in Thoracic Aortic Surgery Patients.Journal of cardiovascular development and disease · 2025Article
- [Characterization and risk prediction of cardiovascular surgeries with cardiopulmonary bypass: a cross-sectional study]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2024Article
- Predictive Factors of Mortality in Acute Aortic Dissection and Validity of the EuroSCORE Algorithm in a Small-Sized Cardiac Surgery Institution.Brazilian journal of cardiovascular surgery · 2020Article
- Emergent aortic surgery in octogenarians: is the advanced age a contraindication?Journal of thoracic disease · 2017Review
- Predictive risk models for proximal aortic surgery.Journal of thoracic disease · 2017Review
- eComment. Risk-adjusted mortality ratio for EuroSCORE II in everyday clinical practice.Interactive cardiovascular and thoracic surgery · 2014Article
- eComment. EuroSCORE II and prediction of in-hospital mortality of thoracic aortic surgery.Interactive cardiovascular and thoracic surgery · 2014Article
- Validation in Indonesia of two published scores for mortality prediction after cardiac surgery.Annals of cardiac anaesthesiaObservational
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Abstract
objectivesThe European System for Cardiac Operative Risk Evaluation (EuroSCORE) II was developed to improve the overestimation of surgical risk associated with the original (additive and logistic) EuroSCOREs. The purpose of this study was to evaluate the significance of the EuroSCORE II by comparing its performance with that of the original EuroSCOREs in Japanese patients undergoing surgery on the thoracic aorta.
methodsWe have calculated the predicted mortalities according to the additive EuroSCORE, logistic EuroSCORE and EuroSCORE II algorithms in 461 patients who underwent surgery on the thoracic aorta during a period of 20 years (1993-2013).
resultsThe actual in-hospital mortality rates in the low- (additive EuroSCORE of 3-6), moderate- (7-11) and high-risk (≥11) groups (followed by overall mortality) were 1.3, 6.2 and 14.4% (7.2% overall), respectively. Among the three different risk groups, the expected mortality rates were 5.5 ± 0.6, 9.1 ± 0.7 and 13.5 ± 0.2% (9.5 ± 0.1% overall) by the additive EuroSCORE algorithm, 5.3 ± 0.1, 16 ± 0.4 and 42.4 ± 1.3% (19.9 ± 0.7% overall) by the logistic EuroSCORE algorithm and 1.6 ± 0.1, 5.2 ± 0.2 and 18.5 ± 1.3% (7.4 ± 0.4% overall) by the EuroSCORE II algorithm, indicating poor prediction (P < 0.0001) of the mortality in the high-risk group, especially by the logistic EuroSCORE. The areas under the receiver operating characteristic curves of the additive EuroSCORE, logistic EuroSCORE and EuroSCORE II algorithms were 0.6937, 0.7169 and 0.7697, respectively. Thus, the mortality expected by the EuroSCORE II more closely matched the actual mortality in all three risk groups. In contrast, the mortality expected by the logistic EuroSCORE overestimated the risks in the moderate- (P = 0.0002) and high-risk (P < 0.0001) patient groups.
conclusionsAlthough all of the original EuroSCOREs and EuroSCORE II appreciably predicted the surgical mortality for thoracic aortic surgery in Japanese patients, the EuroSCORE II best predicted the mortalities in all risk groups.
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