Key result
ESOS and Thoracoscore predict 30-day mortality after thoracic surgery, with ESOS remaining an independent predictor.
Why the study?
The ability of European Society Objective Score (ESOS) and Thoracoscore to predict mortality after thoracic surgery was compared due to their recent use in thoracic operations.
Do ESOS and Thoracoscore predict 30-day postoperative mortality in patients undergoing thoracic surgery?
Observational (n=282)
Yes
Do ESOS and Thoracoscore predict 30-day postoperative mortality in patients undergoing thoracic surgery?
ESOS is a more sensitive and specific independent predictor of 30-day mortality after thoracic surgery compared to Thoracoscore.
Answers are grounded in this paper and cite their sources.
ESOS may aid risk stratification in thoracic surgery cohorts; leaves open prospective validation before clinical adoption.
Background The use of scores in thoracic surgery has been done recently. European Society Objective Score (ESOS) and Thoracoscore are the most popular scores used in thoracic operations. This work aimed to compare ESOS and Thoracoscore’s ability in predicting the mortality after thoracic surgery.Methods This retrospective study involved 282 cases who were admitted to thoracic surgery unit, Tanta University Hospitals and other hospitals whose Thoracoscore and ESOS were calculated from January 2017 to December 2022.Results Mortality rate at 30 days postoperative was 7.44% in our study. Pneumonectomy and MV (mechanical ventilation) were significantly associated with mortality (P value < 0.001). Thoracoscore can predict mortality (P value = 0.004 and AUC = 0.629) with 61.9% sensitivity, 56.70% specificity, 10.3% positive predictive value (PPV), and 94.9% negative predictive value(NPV). ESOS can predict mortality (P value = 0.006 and AUC = 0.662) with 85.71% sensitivity, 37.55% specificity, 9.9% PPV and 97% NPV. ESOS was an independent significant predictor for mortality while Thoracoscore was not.Conclusions ESOS and Thoracoscore are applicable tools in predicting the mortality after thoracic surgeries. However, ESOS is more sensitive and more specific.
No takes yet. Share an insight, caveat, or question.
Morsy et al. (2023) conducted an observational in Thoracic surgery (n=282). European Society Objective Score (ESOS) and Thoracoscore was evaluated on 30-day postoperative mortality (AUC 0.662 for ESOS; AUC 0.629 for Thoracoscore, p=0.006 for ESOS; 0.004 for Thoracoscore). ESOS and Thoracoscore significantly predicted 30-day mortality after thoracic surgery (AUC 0.662 and 0.629, respectively), with ESOS being an independent significant predictor.
Synapse has enriched 10 related papers. Consider them for comparative context: