EuroSCORE II e a importância de um modelo local, InsCor e o futuro SP-SCORE
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| Format: | Artículo científico |
| Sprache: | pt |
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Sociedade Brasileira de Cirurgia Cardiovascular
2014
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| _version_ | 1876487653679955968 |
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| author | Luiz Augusto Ferreira Lisboa |
| author_facet | Luiz Augusto Ferreira Lisboa |
| contents | EuroSCORE II e a importância de um modelo local, InsCor e o futuro SP-SCORE Luiz Augusto Ferreira Lisboa Omar Asdrubal Vilca Mejia Luiz Felipe Pinho Moreira Luís Alberto Oliveira Dallan Pablo Maria Alberto Pomerantzeff Luís Roberto Palma Dallan Maria Raquel B. Massoti Fabio B. Jatene Medicina dures Risk Factors Coronary Disease Heart Valve Diseases Coronary Artery Bypass Introduction: The most widely used model for predicting mortality in cardiac surgery was recently remodeled, but the doubts regarding its methodology and development have been reported. Objective: The aim of this study was to evaluate the performance of the EuroSCORE II to predict mortality in patients undergoing coronary artery bypass grafts or valve surgery at our institution. Methods: One thousand consecutive patients operated on coronary artery bypass grafts or valve surgery, between October 2008 and July 2009, were analyzed. The outcome of interest was in-hospital mortality. Calibration was performed by correlation between observed and expected mortality by Hosmer Lemeshow. Discrimination was calculated by the area under the ROC curve. The performance of the EuroSCORE II was compared with the EuroSCORE and InsCor (local model). Results: In calibration, the Hosmer Lemeshow test was inappropriate for the EuroSCORE II ( P =0.0003) and good for the EuroSCORE ( P =0.593) and InsCor ( P =0.184). However, the discrimination, the area under the ROC curve for EuroSCORE II was 0.81 [95% CI (0.76 to 0.85), P <0.001], for the EuroSCORE was 0.81 [95% CI (0.77 to 0.86), P <0.001] and for InsCor was 0.79 [95% CI (0.74-0.83), P <0.001] showing up properly for all. Conclusion: The EuroSCORE II became more complex and resemblance to the international literature poorly calibrated to predict mortality in patients undergoing coronary artery bypass grafts or valve surgery at our institution. These data emphasize the importance of the local model. 2014 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941892004 pt http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.29 |
| format | Artículo científico |
| id | redalyc_398941892004 |
| institution | Redalyc |
| language | pt |
| publishDate | 2014 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | EuroSCORE II e a importância de um modelo local, InsCor e o futuro SP-SCORE Luiz Augusto Ferreira Lisboa Medicina dures Risk Factors Coronary Disease Heart Valve Diseases Coronary Artery Bypass EuroSCORE II e a importância de um modelo local, InsCor e o futuro SP-SCORE Luiz Augusto Ferreira Lisboa Omar Asdrubal Vilca Mejia Luiz Felipe Pinho Moreira Luís Alberto Oliveira Dallan Pablo Maria Alberto Pomerantzeff Luís Roberto Palma Dallan Maria Raquel B. Massoti Fabio B. Jatene Medicina dures Risk Factors Coronary Disease Heart Valve Diseases Coronary Artery Bypass Introduction: The most widely used model for predicting mortality in cardiac surgery was recently remodeled, but the doubts regarding its methodology and development have been reported. Objective: The aim of this study was to evaluate the performance of the EuroSCORE II to predict mortality in patients undergoing coronary artery bypass grafts or valve surgery at our institution. Methods: One thousand consecutive patients operated on coronary artery bypass grafts or valve surgery, between October 2008 and July 2009, were analyzed. The outcome of interest was in-hospital mortality. Calibration was performed by correlation between observed and expected mortality by Hosmer Lemeshow. Discrimination was calculated by the area under the ROC curve. The performance of the EuroSCORE II was compared with the EuroSCORE and InsCor (local model). Results: In calibration, the Hosmer Lemeshow test was inappropriate for the EuroSCORE II ( P =0.0003) and good for the EuroSCORE ( P =0.593) and InsCor ( P =0.184). However, the discrimination, the area under the ROC curve for EuroSCORE II was 0.81 [95% CI (0.76 to 0.85), P <0.001], for the EuroSCORE was 0.81 [95% CI (0.77 to 0.86), P <0.001] and for InsCor was 0.79 [95% CI (0.74-0.83), P <0.001] showing up properly for all. Conclusion: The EuroSCORE II became more complex and resemblance to the international literature poorly calibrated to predict mortality in patients undergoing coronary artery bypass grafts or valve surgery at our institution. These data emphasize the importance of the local model. 2014 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941892004 pt http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.29 |
| title | EuroSCORE II e a importância de um modelo local, InsCor e o futuro SP-SCORE |
| topic | Medicina dures Risk Factors Coronary Disease Heart Valve Diseases Coronary Artery Bypass |
| url | https://www.redalyc.org/articulo.oa?id=398941892004 |