ArticleNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2018
Prospective validation of the EuroSCORE II risk model in a single Dutch cardiac surgery centre.
Article in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 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
- Short- and Long-Term Survival Prediction Using Different Prognostic Scores in Cardiovascular Surgeries.Journal of clinical medicine · 2026Article
- Prediction of mortality based on the EuroSCORE II model in patients undergoing cardiovascular surgery.Journal of cardiovascular and thoracic research · 2025Article
- Performance of EuroSCORE II in Octogenarians Undergoing Coronary Artery Surgery (from the KROK Registry).Journal of clinical medicine · 2024Article
- Validation of EuroSCORE II Scoring System on Isolated CABG Patient in Indonesia.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023Article
- Dynamics in cardiac surgery: trends in population characteristics and the performance of the EuroSCORE II over time.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2023Article
- The performance of EuroSCORE II in CABG patients in relation to sex, age, and surgical risk: a nationwide study in 14,118 patients.Journal of cardiothoracic surgery · 2023Article
- Long-Term Outcomes after Aortic Valve and Root Replacement in a Very High-Risk Population.Journal of cardiovascular development and disease · 2022Article
- Predictive ability of EuroSCORE II integrating cardiactroponin T in patients undergoing OPCABG.BMC cardiovascular disorders · 2020Observational
- Effects of Preoperative Risk Stratification on Direct In-hospital Costs for Chinese Patients with Coronary Artery Bypass Graft: A Single Center Analysis.Current medical science · 2018Article
- Perioperative risk assessment with Euroscore and Euroscore II in patients with coronary artery or valvular disease.Medicine · 2018Article
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Authors and funding
7 authors.
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Abstract
objectiveThe EuroSCORE I was one of the most frequently used pre-operative risk models in cardiac surgery. In 2011 it was replaced by its successor the EuroSCORE II. This study aims to validate the EuroSCORE II and to compare its performance with the EuroSCORE I in a Dutch hospital.
methodsThe EuroSCORE II was prospectively validated in 2,296 consecutive cardiac surgery patients between 1 April 2012 and 1 January 2014. Receiver operating characteristic curves on in-hospital mortality were plotted for EuroSCORE I and EuroSCORE II, and the area under the curve was calculated to assess discriminative power. Calibration was assessed by comparing observed versus expected mortality. Additionally, analyses were performed in which we stratified for type of surgery and for elective versus emergency surgery.
resultsThe observed mortality was 2.4% (55 patients). The discriminative power of the EuroSCORE II surpassed that of the EuroSCORE I (area under the curve EuroSCORE II 0.871, 95% confidence interval (CI) 0.832-0.911; area under the curve additive EuroSCORE I 0.840, CI 0.798-0.882; area under the curve logistic EuroSCORE I 0.761, CI 0.695-0.828). Both the additive and the logistic EuroSCORE I overestimated mortality (predictive mortality additive EuroSCORE I median 5.0%, inter-quartile range 3.0-8.0%; logistic EuroSCORE I 10.7%, inter-quartile range 5.8-13.9), while the EuroSCORE II underestimated mortality (median 1.6%, inter-quartile range 1.0-3.5). In most stratified analyses the EuroSCORE II performed better.
conclusionOur results show that the EuroSCORE II produces a valid risk prediction and outperforms the EuroSCORE I in elective cardiac surgery patients.
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