Key result
In TAVI patients, the ACEF, STS, and Logistic Euroscore demonstrated low accuracy for predicting 30-day all-cause mortality (AUCs 0.60, 0.62, and 0.53, respectively) and medium-term outcomes.
Why the study?
Do available surgical risk scores accurately predict 30-day and medium-term mortality in patients undergoing TAVI?
Population
962 patients undergoing transcatheter aortic valve implantation (TAVI)
Design
Cohort
Follow-up
30-day and medium-term
Authors
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Surgical scores may not reliably inform TAVI decisions; leaves open need for dedicated TAVI-specific models.
Observational (n=962)
Do available surgical risk scores accurately predict 30-day and medium-term mortality in patients undergoing TAVI?
Odds Ratio: 1.1 (95% CI 1.06–1.31)
p-value: p=0.02
Available surgical risk scores (ACEF, STS, Logistic Euroscore) have low accuracy for predicting 30-day and medium-term outcomes in TAVI patients, highlighting the need for dedicated TAVI risk scores.
D’Ascenzo et al. (2013) conducted an observational in Transcatheter aortic valve implantation (TAVI) (n=962). Surgical risk scores (ACEF, Logistic Euroscore, STS score) was evaluated on Short-term all-cause mortality (STS score prediction) (OR 1.1, 95% CI 1.06-1.31, p=0.02). In TAVI patients, the ACEF, STS, and Logistic Euroscore demonstrated low accuracy for predicting 30-day all-cause mortality (AUCs 0.60, 0.62, and 0.53, respectively) and medium-term outcomes.
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