title: Can the EuroSCORE predict midterm survival after aortic valve replacement?
abstract: OBJECTIVE
  The EuroSCORE as a predictor for midterm survival after isolated aortic valve replacement (AVR) and combined AVR with coronary artery bypass graft (CABG) surgery was tested. Survival in different risk-stratification groups also was compared to the survival of the general Dutch population.
  
  
  METHODS
  A retrospective analysis of prospectively collected data.
  
  
  METHODS
  A single-center study performed in an educational hospital.
  
  
  METHODS
  All patients (N = 1,652) who underwent AVR with (n = 711) or without (n = 941) CABG surgery from January 2004 through December 2009.
  
  
  METHODS
  AVR with or without CABG surgery.
  
  
  RESULTS
  Univariate Cox regression analyses were used to identify the additive and the logistic EuroSCOREs as independent predictors of midterm mortality. Kaplan-Meier survival curves were used to compare the survival of different patients' risk subgroups, based on both the additive and the logistic EuroSCOREs, with the normal Dutch population matched for age and sex. Both additive and logistic EuroSCOREs were significant predictors of midterm mortality after isolated AVR and AVR with CABG surgery. This was also true for the different risk-stratification groups. Except for survival after AVR with CABG surgery in the high-risk group based on the additive EuroSCORE, no difference was found between survival after surgery and survival of the age- and sex-matched normal population.
  
  
  CONCLUSIONS
  Both EuroSCORE models can predict midterm survival after isolated AVR and combined AVR with CABG surgery. However, the EuroSCORE is not a predictor for midterm survival when comparing the patient groups with the general Dutch population matched for age and sex. Except for high-risk patients undergoing AVR with CABG surgery, other risk subgroups have similar midterm survival to that of their age- and sex-matched cohorts of the Dutch population.
authors.affiliation: Department of Cardiothoracic Surgery, Catharina Hospital, Eindhoven, the Netherlands.
authors.forename: Bart M J A
authors.initials: BM
authors.lastname: Koene
authors.forename: Albert H M
authors.initials: AH
authors.lastname: van Straten
authors.forename: Martijn W A
authors.initials: MW
authors.lastname: van Geldorp
authors.forename: Joost F
authors.initials: JF
authors.lastname: Ter Woorst
authors.forename: Ted W O
authors.initials: TW
authors.lastname: Elenbaas
authors.forename: Mohamed A
authors.initials: MA
authors.lastname: Soliman Hamad
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000401:mortality*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000401:mortality*; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D016016:Proportional Hazards Models; D012189:Retrospective Studies