Observed intrahospital mortality after total arterial revascularization was 1.72%, which was lower than the preoperative EuroSCORE II predicted mortality of 1.98%.
Cohort (n=116)
No
Does EuroSCORE II reliably predict intrahospital mortality and postoperative complications in patients undergoing total arterial revascularization?
EuroSCORE II is a reliable tool for predicting intrahospital mortality and correlates with postoperative complications such as ICU length of stay and wound infections in patients undergoing total arterial revascularization.
Absolute Event Rate: 1.98% vs 1.72%
BACKGROUND: Total arterial revascularization is the most durable and technically the most demanding type of coronary artery bypass grafting procedure. It has proven long-term supremacy in comparison to conventional coronary artery bypass grafting. In our study, we investigated the reliability of EuroSCORE II as a predictor of intrahospital death. We showed its impact on adverse perioperative events. METHODS: In this nonrandomized prospective study, we analyzed 116 consecutive patients who underwent the total arterial revascularization procedure at our Institute from January 2011 until the present. For myocardial revascularization, the most suitable combinations with left internal mammary artery, right internal mammary artery, and radial artery grafts were used. Main fact in this research was intrahospital mortality value in comparison with the value predicted. RESULTS: There were 104 (89.7%) males and 12 (10.3%) females. Mean preoperative EuroSCORE II prediction value was 1.98% and postoperative we obtained 1.72%. Postoperative redo for bleeding was 6%. Positive correlation was proven between the EuoroSCORE II value and intensive care unit stay (0.452; p < 0.001). Among patients who received two internal mammary arteries, the highest EuroSCORE II was among those with presternal wound infection (p = 0.005). Patients with bilateral internal mammary arteries and diabetes showed that they have the highest values of EuroSCORE II and, at the same time, that they are extremely prone to wound problems. CONCLUSIONS: We achieved a lower intrahospital mortality level than it was predicted with preoperative EuroSCORE II value. This tool is a reliable method for preoperative death risk calculation in this group of patients.
Milutinović et al. (Sat,) conducted a cohort in Coronary artery disease requiring total arterial revascularization (n=116). EuroSCORE II prediction vs. Observed outcomes was evaluated on Intrahospital mortality. Observed intrahospital mortality after total arterial revascularization was 1.72%, which was lower than the preoperative EuroSCORE II predicted mortality of 1.98%.