Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
April 26, 2021Turkish Journal of Thoracic and Cardiovascular SurgeryOpen Access

Performance of the EuroSCORE II and the STS score for cardiac surgery in octogenarians

View Full Paper
Ask AI
Bookmark
Share

Key result

The EuroSCORE II performed better than the STS score for mortality prediction in octogenarians, with mean EuroSCORE II significantly higher in patients with mortality (8.1 vs 4.1, p=0.006).

Why the study?

The predictive value of the STS score and EuroSCORE II for mortality in octogenarian patients undergoing cardiac surgery needed to be investigated.

Does the EuroSCORE II perform better than the STS score for predicting mortality in octogenarian cardiac surgery patients?

Population

116 octogenarian patients undergoing cardiac operations

Comparison

STS score vs EuroSCORE II

Design

Retrospective analysis

Authors

HKHüseyin KuplayHellenic Petroleum (Greece)SESevinç Bayer ErdoğanDr. Siyami Ersek Göğüs Kalp Ve Damar Cerrahisi Eğitim Ve Araştırma HastanesiMBMurat BaştopçuUniversity of Health Science

Discussion

Loading...

Member takes

Implication

Supports EuroSCORE II preference in elective octogenarian cases; leaves open validation for urgent or combined procedures.

Study Design

Type

Observational (n=116)

Structured PICO

Does the EuroSCORE II perform better than the STS score for predicting mortality in octogenarian cardiac surgery patients?

P
Population
116 octogenarian patients (mean age 82.9 years, 37.1% female) undergoing cardiac surgery, retrospectively analyzed to compare mortality prediction scores.
E
Exposure
EuroSCORE II risk scoring system
C
Comparator
Society of Thoracic Surgeons (STS) risk scoring system
O
Outcome
Mortality predictionhard clinical

Main Result

p-value: p=0.006

The EuroSCORE II performs better than the STS score for predicting mortality in octogenarians undergoing elective cardiac surgery, though both scores are unsatisfactory for urgent and combined procedures.

Limitations

  • Predictions of either scoring system were unsatisfactory for urgent surgery and combined procedures
  • Population-based validation studies are needed for a better risk scoring system in this age group

Cite This Study

Kuplay et al. (2021) conducted an observational in Cardiac surgery in octogenarians (n=116). EuroSCORE II vs. STS score was evaluated on Mortality (p=0.006). The EuroSCORE II performed better than the STS score for mortality prediction in octogenarians, with mean EuroSCORE II significantly higher in patients with mortality (8.1 vs 4.1, p=0.006).

synapsesocial.com/papers/6a68fade87102babaff7f07chttps://doi.org/10.5606/tgkdc.dergisi.2021.21403
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The application of European system for cardiac operative risk evaluation II (EuroSCORE II) and Society of Thoracic Surgeons (STS) risk-score for risk stratification in Indian patients undergoing cardiac surgery2013 · 59 citations
  2. 2EuroSCORE II2012 · 2,988 citations
  3. 3Cardiac surgery and anesthesia in an elderly and very elderly patient population: a retrospective study2011 · 5 citations
  4. 4Operative and Middle-Term Results of Cardiac Surgery in Nonagenarians2010 · 69 citations
  5. 5Outcomes of cardiac surgery in the elderly2006 · 16 citations