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June 1, 2015MedicineOpen Access

Validation of Scoring Systems That Predict Outcomes in Patients With Coronary Artery Disease Undergoing Coronary Artery Bypass Grafting Surgery

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Why the study?

Which risk scoring system best predicts 5-year outcomes in patients with left main coronary artery disease undergoing CABG?

Population

305 patients with left main coronary artery disease who underwent coronary artery bypass grafting

Design

Cohort

Follow-up

5 years

Authors

WCWen-Jung ChungKaohsiung Chang Gung Memorial HospitalCCChung-Yu ChenNational Taiwan University HospitalFLFan-Yen LeeChang Gung University

Discussion

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Member takes

Implication

Retrospective single-center validation of SYNTAX/EuroSCORE in LMCAD-CABG is hypothesis-generating; prospective studies needed before clinical use.

Structured PICO

Which risk scoring system best predicts 5-year outcomes in patients with left main coronary artery disease undergoing CABG?

P
Population
305 patients with left main coronary artery disease (LMCAD) who underwent coronary artery bypass grafting (CABG)
I
Intervention
Risk stratification scores (SYNTAX, EuroSCORE, ACEF, modified ACEF, clinical SYNTAX, logistic CSS, and Parsonnet scores)
O
Outcome
5-year rate of all-cause death and major adverse cardio-cerebral events (MACCEs), including cardiovascular (CV) death, myocardial infarction (MI), stroke, and target vessel revascularization (TVR)hard clinical

The EuroSCORE scoring system accurately predicts 5-year all-cause death, CV death, and MACCE in patients with LMCAD undergoing CABG, outperforming the SYNTAX score.

Cite This Study

Chung et al. (2015) studied this question.

synapsesocial.com/papers/6a703840a528af2d65c36574https://doi.org/10.1097/md.0000000000000927

Topics

Coronary artery disease
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