[Stability of the Euro-score as an identification tool for patient risk groups -- dependency of the applied documentation system].
From the different methods for risk adjustment, scores allow a rough classification of the patients. The Euroscore represents one of the most modern scores. The most recent version of the documentation system of the German Society for Thoracic and Cardiovascular Surgery may be used without extended extra-work to evaluate the Euroscore despite the presence of various limitations. The investigation of the scores with nearly complete adaptation of the variables of the quality assurance documentation to the original definition showed no substantial differences between the score groups. However, many methodological implications favor the development of self-evaluated models to obtain a most recent weight for each risk factor and to be able to take into account new therapeutical options. These models can be evaluated by the existing database and extended by the most recent data.
Osswald
B R
BR
Abt. für Herzchirurgie Universität Heidelberg Im Neuenheimer Feld 110 D-69120 Heidelberg, Germany. brigitte_osswald@med.uni-heidelberg.de
Tochtermann
U
U
Thomas
G
G
Vahl
C F
CF
Hagl
S
S
D006348:Cardiac Surgical Procedures; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D010361:Patients / Q000145:classification*; D011785:Quality Assurance, Health Care; D020379:Risk Adjustment; D012307:Risk Factors; D011795:Surveys and Questionnaires; D016019:Survival Analysis; D013997:Time Factors