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EuroScore II validation

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https://www.readbyqxmd.com/read/27876563/preoperative-optimization-of-the-heart-failure-patient-undergoing-cardiac-surgery
#1
REVIEW
Maxime Pichette, Mark Liszkowski, Anique Ducharme
Heart failure patients who undergo cardiac surgery are exposed to significant perioperative complications and high mortality. We herein review the literature concerning preoperative optimization of these patients. Salient findings are that end-organ dysfunction and medication should be optimized before surgery. Specifically: (1) reversible causes of anemia should be treated and a preoperative hemoglobin level of 100 g/L obtained; (2) renal function and volume status should be optimized; (3) liver function must be carefully evaluated; (4) nutritional status should be assessed and cachexia treated to achieve a preoperative albumin level of at least 30 g/L and a body mass index > 20; and (5) medication adjustments performed, such as withholding inhibitors of the renin-angiotensin-aldosterone system before surgery and continuing, but not starting, β-blockers...
August 6, 2016: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/27452916/comparison-of-four-risk-scores-for-in-hospital-mortality-in-patients-undergoing-heart-valve-surgery-a-multicenter-study-in-a-chinese-population
#2
Chong Wang, Yang-Feng Tang, Jia-Jun Zhang, Yi-Fan Bai, Yong-Chao Yu, Guan-Xin Zhang, Lin Han
BACKGROUND AND AIM OF THE STUDY: To compare four risk scores with regard to their validity to predict in-hospital mortality after heart valve surgery in a multicenter patient population of China. MATERIALS AND METHODS: From January 2009 to December 2012, data from 12,412 consecutive patients older than 16 years who underwent heart valve surgery at four cardiac surgical centers were collected and scored according to the EuroSCORE II, Ambler risk score, NYC risk score, and STS risk score...
September 2016: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/27444650/performance-of-euroscore-ii-and-sinoscore-in-chinese-patients-undergoing-coronary-artery-bypass-grafting
#3
Yunpeng Bai, Lianqun Wang, Zhigang Guo, Qingliang Chen, Nan Jiang, Jianxing Dai, Jianshi Liu
OBJECTIVES: The European System for Cardiac Operative Risk Evaluation II (EuroSCORE II) was developed to update EuroSCORE and incorporated refinement and modification of several risk factors. SinoSCORE was designed by Chinese scholars based on 9839 patients who underwent coronary artery bypass grafting (CABG) at 43 participating institutions. This study was designed to validate the EuroSCORE II and SinoSCORE in Chinese patients undergoing CABG and to compare their performance overall and per subgroup...
November 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/27128536/mortality-prediction-following-transcatheter-aortic-valve-replacement-a-quantitative-comparison-of-risk-scores-derived-from-populations-treated-with-either-surgical-or-percutaneous-aortic-valve-replacement-the-israeli-tavr-registry-risk-model-accuracy-assessment
#4
Amir Halkin, Arie Steinvil, Guy Witberg, Alon Barsheshet, Michael Barkagan, Abid Assali, Amit Segev, Paul Fefer, Victor Guetta, Israel M Barbash, Ran Kornowski, Ariel Finkelstein
BACKGROUND: Accurate risk stratification is pivotal for appropriate selection of patients with severe symptomatic aortic stenosis for either surgical or transcatheter aortic valve replacement (TAVR). We sought to determine whether recent risk prediction models developed specifically in TAVR patients enhance prognostication in comparison with previous surgical scores used in clinical practice (EuroScore I, EuroScore II, STS). METHODS: The Israeli TAVR Registry Risk Model Accuracy Assessment (IRRMA) study utilized a multicenter prospective TAVR database (n=1327) to perform a quantitative comparison between previous risk scores developed in either surgical or TAVR populations, with the present registry serving as an independent external validation set...
July 15, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/26873386/consecutive-observational-study-to-validate-euroscore-ii-performances-on-a-single-center-contemporary-cardiac-surgical-cohort
#5
Dusko Nezic, Tatjana Spasic, Slobodan Micovic, Dragana Kosevic, Ivana Petrovic, Ljiljana Lausevic-Vuk, Dragana Unic-Stojanovic, Milorad Borzanovic
OBJECTIVE: To compare and validate the original EuroSCORE risk stratification models with the renewed EuroSCORE II model in a contemporary cardiac surgical practice. DESIGN: A consecutive observational study to validate EuroSCORE II performances, conducted as retrospective analysis of prospectively collected data. SETTING: A tertiary university institute for cardiovascular diseases. PARTICIPANTS: Adult patients undergoing cardiac surgery between January and December 2012...
April 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/26689444/validation-of-transcatheter-aortic-valve-implantation-risk-scores-in-relation-to-early-and-mid-term-survival-a-single-centre-study
#6
Valérie M Collas, Caroline M Van De Heyning, Bernard P Paelinck, Inez E Rodrigus, Christiaan J Vrints, Johan M Bosmans
OBJECTIVES: The aim of this study was to validate recently proposed risk scores for the prediction of mortality up to 1 year after transcatheter aortic valve implantation (TAVI), using a self-expandable valve (CoreValve). METHODS: In this single-centre study, 225 consecutive patients with severe symptomatic aortic valve stenosis, who underwent TAVI between December 2007 and January 2015, were included. Conventional surgical risk scores (logistic EuroSCORE, EuroSCORE II and STS score) were calculated as well as newly proposed TAVI risk scores (TAVI2-SCORe, STT Score and OBSERVANT score)...
March 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/26651454/comparison-of-percutaneous-mitral-valve-repair-versus-conservative-treatment-in-severe-functional-mitral-regurgitation
#7
RANDOMIZED CONTROLLED TRIAL
Cristina Giannini, Francesca Fiorelli, Marco De Carlo, Fabio Guarracino, Michela Faggioni, Paolo Giordano, Paolo Spontoni, Andrea Pieroni, Anna Sonia Petronio
Percutaneous mitral valve repair (PMVR) using the MitraClip System is feasible and entails clinical improvement even in patients with high surgical risk and severe functional mitral regurgitation (MR). The aim of this study was to assess survival rates and clinical outcome of patients with severe, functional MR treated with optimal medical therapy (OMT) compared with those who received MitraClip device. Sixty patients treated with OMT were compared with a propensity-matched cohort of 60 patients who underwent PMVR...
January 15, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/26630012/midregional-proadrenomedullin-improves-risk-stratification-beyond-surgical-risk-scores-in-patients-undergoing-transcatheter-aortic-valve-replacement
#8
Adam Csordas, Fabian Nietlispach, Philipp Schuetz, Andreas Huber, Beat Müller, Francesco Maisano, Maurizio Taramasso, Igal Moarof, Slayman Obeid, Barbara E Stähli, Martin Cahenzly, Ronald K Binder, Christoph Liebetrau, Helge Möllmann, Won-Keun Kim, Christian Hamm, Thomas F Lüscher
BACKGROUND: Conventional surgical risk scores lack accuracy in risk stratification of patients undergoing transcatheter aortic valve replacement (TAVR). Elevated levels of midregional proadrenomedullin (MR-proADM) levels are associated with adverse outcome not only in patients with manifest chronic disease states, but also in the general population. OBJECTIVES: We investigated the predictive value of MR-proADM for mortality in an unselected contemporary TAVR population...
2015: PloS One
https://www.readbyqxmd.com/read/26628821/assessment-of-the-euroscore-risk-scoring-system-for-patients-undergoing-coronary-artery-bypass-graft-surgery-in-a-group-of-iranian-patients
#9
Hamidreza Jamaati, Arvin Najafi, Farima Kahe, Zahra Karimi, Zarghamhossein Ahmadi, Mohammadreza Bolursaz, Mohammadreza Masjedi, Aliakbar Velayati, Seied Mohammadreza Hashemian
BACKGROUND AND AIMS: Previous studies around the world indicated validity and accuracy of European System for Cardiac Operative Risk Evaluation (EuroSCORE) risk scoring system we evaluated the EuroSCORE risk scoring system for patients undergoing coronary artery bypass graft (CABG) surgery in a group of Iranian patients. MATERIALS AND METHODS: In this cohort 2220 patients more than 18 years, who were performed CABG surgery in Massih Daneshvari Hospital, from January 2004 to March 2010 were recruited...
October 2015: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/26547083/assessment-of-perioperative-mortality-risk-in-patients-with-infective-endocarditis-undergoing-cardiac-surgery-performance-of-the-euroscore-i-and-ii-logistic-models
#10
Sérgio Madeira, Ricardo Rodrigues, António Tralhão, Miguel Santos, Carla Almeida, Marta Marques, Jorge Ferreira, Luís Raposo, José Neves, Miguel Mendes
OBJECTIVES: The European System for Cardiac Operative Risk Evaluation (EuroSCORE) has been established as a tool for assisting decision-making in surgical patients and as a benchmark for quality assessment. Infective endocarditis often requires surgical treatment and is associated with high mortality. This study was undertaken to (i) validate both versions of the EuroSCORE, the older logistic EuroSCORE I and the recently developed EuroSCORE II and to compare their performances; (ii) identify predictors other than those included in the EuroSCORE models that might further improve their performance...
February 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/26403175/accuracy-of-euroscore-ii-in-patients-undergoing-minimally-invasive-mitral-valve-surgery
#11
Marco Moscarelli, Giacomo Bianchi, Rafik Margaryan, Alfredo Cerillo, Pierandrea Farneti, Michele Murzi, Marco Solinas
OBJECTIVES: EuroSCORE II has been implemented with the view to providing better performance than the previous logistic EuroSCORE. However, until now, no external validations have been carried out in the minimally invasive context. Therefore, we sought to validate the accuracy of EuroSCORE II in a retrospective series of consecutive patients undergoing minimally invasive mitral valve surgery. METHODS: Data of 1609 consecutive patients who underwent minimally invasive mitral valve surgery in our institution were retrospectively reviewed...
December 2015: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/26139738/validation-of-the-european-system-for-cardiac-operative-risk-evaluation-ii-model-in-an-urban-indian-population-and-comparison-with-three-other-risk-scoring-systems
#12
COMPARATIVE STUDY
Biju Sivam Pillai, Kanwar Aditya Baloria, Nandini Selot
AIMS AND OBJECTIVES: The aims were to compare the European System for Cardiac Operative Risk Evaluation (EuroSCORE)-II system against three established risk scoring systems for predictive accuracy in an urban Indian population and suggest improvements or amendments in the existing scoring system for adaptation in Indian population. MATERIALS AND METHODS: EuroSCORE-II, Parsonnet score, System-97 score, and Cleveland score were obtained preoperatively for 1098 consecutive patients...
July 2015: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/26004937/mortality-in-low-and-very-low-risk-patients-undergoing-cardiac-surgery-evaluation-according-to-the-euroscore-ii-as-a-new-standard
#13
Raul Alfredo Borracci, Miguel Rubio, Julio Baldi, Rodolfo A Ahuad Guerrero, Víctor Mauro
BACKGROUND: Only a few reports have analyzed low-risk patient outcomes and in every case, the risk was based on a logistic EuroSCORE ≤ 2. Since this original EuroSCORE overestimates surgical risk, we developed this study to prospectively evaluate the immediate results of cardiac surgery in patients with an expected mortality risk ≤ 2% according to the EuroSCORE II as a new gold standard. We also examined the cause of death and whether it could be considered preventable. METHODS: A prospective risk stratification of all cardiac surgical patients treated at the Bue-nos Aires University Hospital of Argentina was performed between 2012 and 2014 using the EuroSCORE II...
2015: Cardiology Journal
https://www.readbyqxmd.com/read/25762397/validation-and-quality-measurements-for-euroscore-and-euroscore-ii-in-the-spanish-cardiac-surgical-population-a-prospective-multicentre-study
#14
Antonio Garcia-Valentin, Carlos A Mestres, Eduardo Bernabeu, José A Bahamonde, Iván Martín, Cristina Rueda, Alberto Domenech, Jamit Valencia, Delfina Fletcher, Facundo Machado, José Amores
OBJECTIVES: Since its development in the late 1990s, the European System for Cardiac Operative Risk Evaluation (EuroSCORE) has been the predictive model of choice for estimating mortality after cardiac surgery. As outcomes from cardiac surgery improved, the EuroSCORE showed a loss of calibration, and a revised version of the model was developed, EuroSCORE II. The objectives of this study were to examine the validity of both scores in the Spanish population, and to depict the performance of both models on a funnel plot...
February 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/25754850/is-the-euroscore-ii-best-suited-for-reoperative-risk-estimation-in-patients-with-structural-deterioration-of-aortic-bioprostheses
#15
Amedeo Anselmi, Vito Giovanni Ruggieri, Majid Harmouche, Sophie Mascle, Vincent Auffret, Hervé Le Breton, Xavier Beneux, Jean-Philippe Verhoye
BACKGROUND: Operative risk prediction systems (logistic EuroSCORE I, EuroSCORE II and STS Score) are employed together with multidisciplinary discussion to contraindicate conventional surgery in patients with valvular heart disease and propose the employment of alternative transcatheter procedures. The EuroSCORE I has been reported to underperform in these circumstances; we hypothesize that the EuroSCORE II is best suited for the stratification of risk in patients with structural deterioration (SVD) of valvular bioprostheses and potential candidates to the Valve-in-Valve procedure (deployment of a transcatheter valve within a failing valvular bioprosthesis)...
May 2015: Medical Hypotheses
https://www.readbyqxmd.com/read/25575409/validation-of-the-intensive-care-national-audit-and-research-centre-scoring-system-in-a-uk-adult-cardiac-surgery-population
#16
Priyadharshanan Ariyaratnam, Mahmoud Loubani, James Biddulph, Julie Moore, Neil Richards, Mubarak Chaudhry, Vincent Hong, Mark Haworth, Anantha Ananthasayanam
OBJECTIVE: The Intensive Care National Audit and Research Centre (ICNARC) scoring system was conceived in 2007, utilizing 12 physiologic variables taken from the first 24 hours of adult admissions to the general intensive care unit (ICU) to predict in-hospital mortality. The authors aimed to evaluate the ICNARC score in predicting mortality in cardiac surgical patients compared to established cardiac risk models such as logistic EuroSCORE as well as to the Acute Physiology and Chronic Health Evaluation (APACHE) II...
2015: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/25573258/immediate-outcome-after-sutureless-versus-transcatheter-aortic-valve-replacement
#17
Fausto Biancari, Marco Barbanti, Giuseppe Santarpino, Wanda Deste, Corrado Tamburino, Simona Gulino, Sebastiano Immè, Emanuela Di Simone, Denise Todaro, Francesco Pollari, Theodor Fischlein, Keiichiro Kasama, Bart Meuris, Magnus Dalén, Ulrik Sartipy, Peter Svenarud, Jarmo Lahtinen, Jouni Heikkinen, Tatu Juvonen, Giuseppe Gatti, Aniello Pappalardo, Carmelo Mignosa, Antonino S Rubino
The aim of this study was to compare the immediate outcome of patients undergoing transcatheter (TAVI) versus surgical aortic valve replacement with the sutureless Perceval bioprosthesis (SU-AVR). This is a retrospective multicenter analysis of 773 patients who underwent either TAVI (394 patients, mean age, 80.8 ± 5.5 years, mean EuroSCORE II 5.6 ± 4.9 %) or SU-AVR (379 patients, 77.4 ± 5.4 years, mean EuroSCORE II 4.0 ± 3.9 %) with or without concomitant myocardial revascularization. Data on SU-AVRs were provided by six European institutions (Belgium, Finland, Germany, Italy and Sweden) and data on TAVIs were provided by a single institution (Catania, Italy)...
March 2016: Heart and Vessels
https://www.readbyqxmd.com/read/25456878/comparison-of-three-contemporary-surgical-scores-for-predicting-all-cause-mortality-of-patients-undergoing-percutaneous-mitral-valve-repair-with-the-mitraclip-system-from-the-multicenter-grasp-it-registry
#18
RANDOMIZED CONTROLLED TRIAL
Marianna Adamo, Davide Capodanno, Stefano Cannata, Cristina Giannini, Maria Luisa Laudisa, Marco Barbanti, Salvatore Curello, Sebastiano Immè, Diego Maffeo, Carmelo Grasso, Francesco Bedogni, Anna Sonia Petronio, Federica Ettori, Corrado Tamburino
The aim of this study was to explore the adaptability of 3 contemporary surgical scores (Logistic EuroSCORE [LES], EuroSCORE II [ESII], and Society of Thoracic Surgeons Predicted Risk of Mortality [STS-PROM]) for prediction of mortality after percutaneous mitral valve repair with the MitraClip system. A total of 304 patients from the multicenter Getting Reduction of mitrAl inSufficiency by Percutaneous clip implantation in ITaly registry (GRASP-IT) were stratified based on LES, ESII, and STS-PROM tertiles and analyzed by different measurements of discrimination, calibration, and global accuracy with focus on 30-day and 1-, 2-, and 3-year mortality...
January 1, 2015: American Journal of Cardiology
https://www.readbyqxmd.com/read/25348730/the-validity-of-the-original-euroscore-and-euroscore-ii-in-patients-over-the-age-of-seventy
#19
COMPARATIVE STUDY
Michael Poullis, Mark Pullan, John Chalmers, Neeraj Mediratta
OBJECTIVES: EuroSCORE II, despite improving on the original EuroSCORE system, has not solved all the calibration and predictability issues. We investigated the sensitivity, specificity and predictability of original EuroSCORE and EuroSCORE II system in elderly patients. METHODS: The original logistic EuroSCORE and EuroSCORE II were assessed via receiver operator characteristic (ROC) and Hosmer-Lemeshow test probability analysis with regard to accuracy of predicting in-hospital mortality...
February 2015: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/25263775/meta-analysis-on-the-performance-of-the-euroscore-ii-and-the-society-of-thoracic-surgeons-scores-in-patients-undergoing-aortic-valve-replacement
#20
Fausto Biancari, Tatu Juvonen, Francesco Onorati, Giuseppe Faggian, Jouni Heikkinen, Juhani Airaksinen, Giovanni Mariscalco
OBJECTIVE: To evaluate the performance of the EuroSCORE II (ESII) and the Society of Thoracic Surgeons (STS) scores in surgical (SAVR) or transcatheter aortic valve replacement (TAVR). DESIGN: Systematic review of the literature and meta-analysis. SETTING: University hospitals. PARTICIPANTS: Studies reporting data on the performance of ESII and STS scores in patients undergoing SAVR or TAVR. INTERVENTIONS: SAVR or TAVR...
December 2014: Journal of Cardiothoracic and Vascular Anesthesia
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