Key result
EuroSCORE II accurately predicted 30-day mortality in Indian patients undergoing CABG with an AUC of 0.919, and higher scores were significantly associated with longer ICU length of stay.
Why the study?
The study aimed to investigate the predictive performance of EuroSCORE II in an Indian population and its relationship with ICU length of stay following cardiac surgery.
Does EuroSCORE II accurately predict 30-day mortality and ICU length of stay in Indian patients undergoing adult cardiac surgery?
Observational (n=250)
No
Does EuroSCORE II accurately predict 30-day mortality and ICU length of stay in Indian patients undergoing adult cardiac surgery?
EuroSCORE II demonstrates excellent discriminative ability for predicting 30-day mortality and is significantly associated with prolonged ICU length of stay in Indian patients undergoing CABG.
EuroSCORE II shows strong discrimination in this Indian cohort; extends validation to non-Western settings but leaves open need for prospective confirmation.
Background Higher EuroSCORE II values are usually associated with increased postoperative morbidity and longer durations of Cardiac intensive care unit (CICU) stay following cardiac surgery. Aim/Purpose The aim is to investigate the predictive performance of EuroSCORE II for the Indian population and its relationship with ICU length of stay. Methods Prospective, observational study in 250 adult cardiac patients undergoing CABG under general Anaesthesia. Preoperatively values of EuroSCORE II was calculated by an online calculator available on www.euroscore.org . These patients were followed up after surgery for 30 days to note mortality and length of CICU stay. Results Of 250 cases studied, 39 (15.6%) had EuroSCORE II less than 1, 163 (65.2%) had EuroSCORE II between 1 and 3, 36 (14.4%) had EuroSCORE II between 3.1 and 5.0 and 12 (4.8%) had EuroSCORE II more than 5 in the study group. Mean EuroSCORE II and length of stay in CICU after surgery was 2.2 ± 1.4 and 4.2 ± 2.5 days respectively. The area under the curve (AUC) for EuroSCORE II as a sole predictor of mortality in the study group based on receiver operating characteristic curve (ROC) analysis was 0.919 (95% CI 0.86–0.97). Based on ROC analysis, AUC is significantly higher for predicting mortality ( p < 0.001). Conclusion EuroSCORE II in Indian cardiac patients undergoing cardiac surgery is lesser than in European patients (mean 2.2 vs 3.7). Incidence of mortality is higher in patients with higher EuroSCORE II. As per our study patients with higher EuroSCORE II tend to stay longer in ICU.
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Kate et al. (2023) conducted an observational in Adult cardiac surgery (CABG) (n=250). EuroSCORE II was evaluated on 30-day mortality prediction (AUC 0.919, 95% CI 0.86-0.97, p=<0.001). EuroSCORE II accurately predicted 30-day mortality in Indian patients undergoing CABG with an AUC of 0.919, and higher scores were significantly associated with longer ICU length of stay.
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