EuroSCORE predicts postoperative mortality, certain morbidities, and recovery time.
EuroSCORE (European System for Cardiac Operative Risk Evaluation) used for calculating the risk of the postoperative mortality rate for patients undergoing open-heart surgery may be able to predict postoperative complications as well. Consecutive cases of isolated on-pump coronary artery bypass grafting (CABG) (n=1552) performed between 1991 and 2006 at our hospital group were placed into a systematic database. Patients were stratified using additive EuroSCORE. Incidence of postoperative mortality, morbidity (bleeding, heart failure, mediastinitis, pneumonia, myocardial infarction, renal failure, and stroke), and recovery time (intubation time, ICU stay, and postoperative length of stay) was assessed in each EuroSCORE group. EuroSCORE was well correlated with mortality, total incidence of major complications, heart failure, renal failure, stroke, pneumonia and mediastinitis, and three parameters of recovery time. Postoperative myocardial infarction and incidence of bleeding were not correlated with EuroSCORE. EuroSCORE can predict not only mortality but also postoperative complications and recovery time.
Hirose
Hitoshi
H
Department of Cardiovascular Surgery, Juntendo University Hospital, 2-1-1 Hongou, Bunko-ku, Tokyo 113-8421, Japan. genex@nifty.com
Inaba
Hirotaka
H
Noguchi
Chiaki
C
Tambara
Keiichi
K
Yamamoto
Taira
T
Yamasaki
Motoshige
M
Kikuchi
Keita
K
Amano
Atsushi
A
D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000401:mortality*; D003422:Critical Care; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007442:Intubation, Intratracheal; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality*; D011237:Predictive Value of Tests; D012372:ROC Curve; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome