EuroSCORE predicts immediate and late outcome after coronary artery bypass surgery.
BACKGROUND
The European system for cardiac operative risk evaluation score (EuroSCORE) has been shown to be of value in identifying patients at high risk for adverse immediate postoperative outcome after adult cardiac surgery. The aim of the present study was to evaluate EuroSCORE in predicting the 12-year outcome of patients who underwent on-pump coronary artery bypass surgery (CABG).


METHODS
We calculated the EuroSCORE in 917 patients who underwent CABG. The median follow-up was 11.7 years.


RESULTS
Both additive and logistic EuroSCORE had an area under the receiver operating characteristic curve of 0.856 for prediction of 30-day postoperative death. Among 912 operative survivors, the 10-year survival rates according to quintiles of additive EuroSCORE were 87.9%, 83.9%, 85.2%, 76.0%, and 51.3% (p < 0.0001). The 10-year survival rates according to quintiles of logistic EuroSCORE were 87.9%, 85.4%, 86.5%, 76.9%, and 58.9% (p < 0.0001).


CONCLUSIONS
EuroSCORE is a relevant predictor of immediate and late outcome after on-pump CABG.
Biancari
Fausto
F
Division of Cardiothoracic and Vascular Surgery, Department of Surgery, Oulu University, Hospital, Oulu, Finland. faustobiancari@yahoo.it
Kangasniemi
Olli-Pekka
OP
Luukkonen
Johannes
J
Vuorisalo
Sailaritta
S
Satta
Jari
J
Pokela
Risto
R
Juvonen
Tatu
T
D000368:Aged; D001026:Coronary Artery Bypass; D005260:Female; D005500:Follow-Up Studies; D005544:Forecasting; D006801:Humans; D015993:Life Tables; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality*; D016016:Proportional Hazards Models; D012372:ROC Curve; D018570:Risk Assessment; D012720:Severity of Illness Index; D015996:Survival Rate; D016896:Treatment Outcome