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January 1, 2013Annals of Cardiac AnaesthesiaOpen Access

The 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 surgery

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Key result

EuroSCORE II and STS risk-scores showed poor discriminatory power for predicting mortality in Indian cardiac surgery patients (AUC 0.69, P=0.068 and AUC 0.65, P=0.15, respectively).

Why the study?

Do EuroSCORE II and STS risk-scores accurately predict mortality and morbidity in Indian patients undergoing cardiac surgery?

Population

498 consecutive Indian patients undergoing cardiac surgery

Design

Cohort

Authors

DBDeepak BordeMaharashtra Hybrid Seeds (India)UGUday GandheP. D. Hinduja Hospital and Medical Research CentreNHNeha HargaveFortis Healthcare

Discussion

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Implication

These scores may not reliably predict mortality in Indian patients; leaves open need for population-specific models.

Study Design

Type

Observational (n=498)

Structured PICO

Do EuroSCORE II and STS risk-scores accurately predict mortality and morbidity in Indian patients undergoing cardiac surgery?

P
Population
498 consecutive Indian patients undergoing cardiac surgery evaluated pre-operatively to validate EuroSCORE II and STS risk-scores.
E
Exposure
Risk stratification using EuroSCORE II and STS risk-score
O
Outcome
Mortality and various morbidities (renal failure, long-stay in hospital, prolonged ventilator support, deep sternal wound infection, reoperation, stroke)hard clinical

Main Result

Effect estimate: AUC 0.69 (EuroSCORE II) and 0.65 (STS)

p-value: p=0.068 and 0.15

EuroSCORE II and STS risk-scores show poor discriminatory power for mortality in Indian cardiac surgery patients and overestimate risk in high-risk patients, highlighting the need for a national database.

Cite This Study

Borde et al. (2013) conducted an observational in Cardiac surgery (n=498). EuroSCORE II and STS risk-scores was evaluated on Mortality (AUC 0.69 (EuroSCORE II) and 0.65 (STS), p=0.068 and 0.15). EuroSCORE II and STS risk-scores showed poor discriminatory power for predicting mortality in Indian cardiac surgery patients (AUC 0.69, P=0.068 and AUC 0.65, P=0.15, respectively).

synapsesocial.com/papers/6a9cddbf96e7f648e9a8adaehttps://doi.org/10.4103/0971-9784.114234
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Also Consider

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

  1. 1How does EuroSCORE II perform in UK cardiac surgery; an analysis of 23 740 patients from the Society for Cardiothoracic Surgery in Great Britain and Ireland National Database2012 · 108 citations
  2. 2Accuracy, calibration and clinical performance of the new EuroSCORE II risk stratification system2012 · 94 citations
  3. 3Validation of EuroSCORE II on a single-centre 3800 patient cohort2012 · 65 citations
  4. 4Validation of EuroSCORE II in a modern cohort of patients undergoing cardiac surgery2012 · 171 citations
  5. 5Does EuroSCORE II perform better than its original versions? A multicentre validation study2012 · 185 citations