期刊
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
卷 41, 期 4, 页码 746-754出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/ejcts/ezr285
关键词
Prognostic factors; CABG; Valves; Outcome; Review
The European system for cardiac operative risk evaluation (EuroSCORE) is a commonly used risk score for operative mortality following cardiac surgery. We aimed to conduct a systematic review of the performance of the additive and logistic EuroSCORE. A literature search resulted in 67 articles. Studies applying the EuroSCORE on patients undergoing cardiac surgery and which reported early mortality were included. Weighted meta-regression showed that the EuroSCORE overestimated mortality. However, this performance depended on the risk profile of patients: in high-risk patients, the additive model actually underestimated mortality. Discriminative performance was good. Given the poor predictive performance, the EuroSCORE may not be suitable as a tool for patient selection nor for benchmarking.
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