Evidence map›Paper›PMID 24896156›Full record

ArticleRevista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular

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

Luiz Augusto Ferreira Lisboa, Omar Asdrubal Vilca Mejia, Luiz Felipe Pinho Moreira, Luís Alberto Oliveira Dallan, Pablo Maria Alberto Pomerantzeff, Luís Roberto Palma Dallan, Maria Raquel B Massoti, Fabio B Jatene

Abstract readEvaluation Study
In one paragraph

Article in Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Trial
  2. Observational
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  7. Observational
  8. Observational
  9. Article
  10. Article
  11. Observational
  12. Observational
  13. Observational
  14. Comments on "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
  15. Performance of InsCor and three international scores in cardiac surgery at Santa Casa de Marília.Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular
    Observational
  16. Article
  17. Article
  18. Late outcome analysis of the Braile Biomédica® pericardial valve in the aortic position.Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular
    Article
  19. Observational
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.

Luiz Augusto Ferreira Lisboa
Omar Asdrubal Vilca Mejia
Luiz Felipe Pinho Moreira
Luís Alberto Oliveira Dallan
Pablo Maria Alberto Pomerantzeff
Luís Roberto Palma Dallan
Maria Raquel B Massoti
Fabio B Jatene

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe most widely used model for predicting mortality in cardiac surgery was recently remodeled, but the doubts regarding its methodology and development have been reported.

objectiveThe aim of this study was to assess the performance of the EuroSCORE II to predict mortality in patients undergoing coronary artery bypass grafts or valve surgery at our institution.

methodsOne 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).

resultsIn 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.

conclusionThe 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.

Indexed as

Models, TheoreticalCalibrationCoronary Artery BypassCoronary DiseaseFemaleHeart Valve DiseasesHeart Valve Prosthesis ImplantationHospital MortalityHumansMaleReference ValuesReproducibility of ResultsRetrospective StudiesRisk AssessmentRisk FactorsSensitivity and Specificity

Identifiers

PMID24896156
PMCPMC4389481

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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.