Evaluation of the reliability of the EuroSCORE risk analysis prediction in high-risk older patients undergoing CABG.
BACKGROUND
The aim of this prospective study was to evaluate the reliability of EuroSCORE risk-analysis predictions on early mortality in high-risk older patients who underwent heart surgery.


METHODS
From January 2008 to February 2009, a total of 128 consecutive high-risk older patients who underwent open-heart surgery were included. Patients who required emergency surgery, had pulmonary hypertension, a recent myocardial infarction, underwent combined heart surgery procedures or had renal disease were included. The patients had a mean age of 72 +/- 9 years (range 64-91, 53.1% male) and were evaluated for surgery.


RESULTS
Coronary artery bypass graft (CABG) surgery was performed on 112 patients and valve surgery on 16. Eight patients (6.25% ) died in hospital. The observed mortality rate was lower than the expected mortality obtained using EuroSCORE (6.25% vs 11.2 +/- 7.2%, respectively, p < 0.021).


CONCLUSIONS
There was no correlation between the preoperative logarithmic score of expected mortality and the observed mortality rate in these older high-risk patients who underwent open-heart surgery.
Iyem
H
H
Department of Cardiovascular Surgery, Dicle Universty, Diyarbakir, Turkey. hikmetiyem@gmail.com
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001026:Coronary Artery Bypass / Q000401:mortality* / Q000706:statistics & numerical data; D005260:Female; D006305:Health Status Indicators; D006331:Heart Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D015203:Reproducibility of Results; D018570:Risk Assessment; D013223:Statistics as Topic; D014421:Turkey