ArticlePloS one2020
Validation and quality measurements for STS, EuroSCORE II and a regional risk model in Brazilian patients.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Systematic review and meta-analysis of mortality risk prediction models in adult cardiac surgery.Interactive cardiovascular and thoracic surgery · 2021Pooled it
- Comparative Predictive Performance of EuroSCORE II and the STS Score for Postoperative Cardiopulmonary Complications in Older Adults Undergoing Cardiac Surgery.Journal of clinical medicine · 2026Article
- Risk Stratification for Postoperative Mortality in Cardiac Surgery: "Quo Vadis"?Medicina (Kaunas, Lithuania) · 2026Review
- One-year mortality in patients undergoing aortic valve replacement and its relationship with the extent of myocardial damage scale.Archivos de cardiologia de Mexico · 2025Observational
- Comparison between Five Risk Scores in Patients with Acute Coronary Syndromes Undergoing Surgical Revascularization during the Index Hospitalization.Arquivos brasileiros de cardiologia · 2025Article
- Machine Learning-Based Prediction of Short-Term Mortality After Coronary Artery Bypass Grafting: A Retrospective Cohort Study.Biomedicines · 2025Article
- Preoperative Predictors of Hospital Readmission within 5 Years Following CABG: Cohort Analysis of the REPLICCAR II Database.Arquivos brasileiros de cardiologia · 2025Article
- Assessment of EuroSCORE II and STS Score Performance and the Impact of Surgical Urgency in Isolated Coronary Artery Bypass Graft Surgery at a Referral Center in São Paulo, Brazil.Brazilian journal of cardiovascular surgery · 2024Observational
- Data-driven coaching to improve statewide outcomes in CABG: before and after interventional study.International journal of surgery (London, England) · 2024Article
- Long-Term Radial Artery Grafts with Previous Midterm Proven Patency.Brazilian journal of cardiovascular surgery · 2023Article
- From Volume to Value Creation in Cardiac Surgery: What is Needed to Get off the Ground in Brazil?Arquivos brasileiros de cardiologia · 2023Article
- Applicability of the commonly used risk scores for coronary bypass surgery in Algeria.Journal of the Saudi Heart Association · 2022Article
- Predictive Ability of European Heart Surgery Risk Assessment System II (EuroSCORE II) and the Society of Thoracic Surgeons (STS) Score for in-Hospital and Medium-Term Mortality of Patients Undergoing Coronary Artery Bypass Grafting.International journal of general medicine · 2021Article
- Association Between Preoperative Factors and In-hospital Mortality in Neonates After Cardiac Surgery in China.Frontiers in pediatrics · 2021Article
Corrections and comments
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Authors and funding
17 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe objectives of this study were to describe a novel statewide registry for cardiac surgery in Brazil (REPLICCAR), to compare a regional risk model (SPScore) with EuroSCORE II and STS, and to understand where quality improvement and safety initiatives can be implemented.
methodsA total of 11 sites in the state of São Paulo, Brazil, formed an online registry platform to capture information on risk factors and outcomes after cardiac surgery procedures for all consecutive patients. EuroSCORE II and STS values were calculated for each patient. An SPScore model was designed and compared with EuroSCORE II and STS to predict 30-day outcomes: death, reoperation, readmission, and any morbidity.
resultsA total of 5222 patients were enrolled in this study between November 2013 and December 2017. The observed 30-day mortality rate was 7.6%. Most patients were older, overweight, and classified as New York Heart Association (NYHA) functional class III; 14.5% of the patient population had a positive diagnosis of rheumatic heart disease, 10.9% had insulin-dependent diabetes, and 19 individuals had a positive diagnosis of Chagas disease. When evaluating the prediction performance, we found that SPScore outperformed EuroSCORE II and STS in the prediction of mortality (0.90 vs. 0.76 and 0.77), reoperation (0.84 vs. 0.60 and 0.56), readmission (0.84 vs. 0.55 and 0.51), and any morbidity (0.80 vs. 0.65 and 0.64), respectively (p<0.001).
conclusionsThe REPLICCAR registry might stimulate the creation of other cardiac surgery registries in developing countries, ultimately improving the regional quality of care provided to patients.
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