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The Predictive Ability of MAGGIC Score After Coronary Artery Bypass Grafting: A Comparative Study

INTRODUCTION: The European System for Cardiac Operative Risk Evaluation (EuroSCORE) II and the Society of Thoracic Surgeons (STS) are validated scoring systems for short-term risk estimation after coronary artery bypass grafting (CABG). The Meta-Analysis Global Group in Chronic Heart Failure (MAGGIC...

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Autores principales: Ozcan, Sevgi, Dönmez, Esra, Ziyrek, Murat, Mert, Bülent, Şahin, Irfan, Okuyan, Ertuğrul, Özkaynak, Berk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10358304/
https://www.ncbi.nlm.nih.gov/pubmed/37402290
http://dx.doi.org/10.21470/1678-9741-2022-0355
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author Ozcan, Sevgi
Dönmez, Esra
Ziyrek, Murat
Mert, Bülent
Şahin, Irfan
Okuyan, Ertuğrul
Özkaynak, Berk
author_facet Ozcan, Sevgi
Dönmez, Esra
Ziyrek, Murat
Mert, Bülent
Şahin, Irfan
Okuyan, Ertuğrul
Özkaynak, Berk
author_sort Ozcan, Sevgi
collection PubMed
description INTRODUCTION: The European System for Cardiac Operative Risk Evaluation (EuroSCORE) II and the Society of Thoracic Surgeons (STS) are validated scoring systems for short-term risk estimation after coronary artery bypass grafting (CABG). The Meta-Analysis Global Group in Chronic Heart Failure (MAGGIC) risk score is originally aimed to estimate mortality in heart failure patients; however, it has showed a similar power to predict mortality after heart valve surgery. In this study, we sought to evaluate whether MAGGIC score may predict short and long-term mortality after CABG and to compare its power with EuroSCORE II and STS scoring systems. METHODS: Patients who underwent CABG due to chronic coronary syndrome at our institution were included in this retrospective study. Follow-up data were used to define the predictive ability of MAGGIC and to compare it with STS and EuroSCORE-II for early, one-year, and up to 10-year mortality. RESULTS: MAGGIC, STS, and EuroSCORE-II scores had good prognostic power, moreover MAGGIC was better for predicting 30-day (area under the curve [AUC]: 0.903; 95% confidence interval [CI]: 0.871-0.935), one-year (AUC: 0.931; 95% CI: 0.907-0.955), and 10-year (AUC: 0.923; 95% CI: 0.893-0.954) mortality. MAGGIC was found to be an independent predictor to sustain statistically significant association with mortality in follow-up. CONCLUSION: MAGGIC scoring system had a good predictive accuracy for early and long-term mortality in patients undergoing CABG when compared to EuroSCORE-II and STS scores. It requires limited variables for calculation and still yields better prognostic power in determining 30-day, one-year, and up to 10-year mortality.
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spelling pubmed-103583042023-07-21 The Predictive Ability of MAGGIC Score After Coronary Artery Bypass Grafting: A Comparative Study Ozcan, Sevgi Dönmez, Esra Ziyrek, Murat Mert, Bülent Şahin, Irfan Okuyan, Ertuğrul Özkaynak, Berk Braz J Cardiovasc Surg Original Article INTRODUCTION: The European System for Cardiac Operative Risk Evaluation (EuroSCORE) II and the Society of Thoracic Surgeons (STS) are validated scoring systems for short-term risk estimation after coronary artery bypass grafting (CABG). The Meta-Analysis Global Group in Chronic Heart Failure (MAGGIC) risk score is originally aimed to estimate mortality in heart failure patients; however, it has showed a similar power to predict mortality after heart valve surgery. In this study, we sought to evaluate whether MAGGIC score may predict short and long-term mortality after CABG and to compare its power with EuroSCORE II and STS scoring systems. METHODS: Patients who underwent CABG due to chronic coronary syndrome at our institution were included in this retrospective study. Follow-up data were used to define the predictive ability of MAGGIC and to compare it with STS and EuroSCORE-II for early, one-year, and up to 10-year mortality. RESULTS: MAGGIC, STS, and EuroSCORE-II scores had good prognostic power, moreover MAGGIC was better for predicting 30-day (area under the curve [AUC]: 0.903; 95% confidence interval [CI]: 0.871-0.935), one-year (AUC: 0.931; 95% CI: 0.907-0.955), and 10-year (AUC: 0.923; 95% CI: 0.893-0.954) mortality. MAGGIC was found to be an independent predictor to sustain statistically significant association with mortality in follow-up. CONCLUSION: MAGGIC scoring system had a good predictive accuracy for early and long-term mortality in patients undergoing CABG when compared to EuroSCORE-II and STS scores. It requires limited variables for calculation and still yields better prognostic power in determining 30-day, one-year, and up to 10-year mortality. Sociedade Brasileira de Cirurgia Cardiovascular 2023-06-14 /pmc/articles/PMC10358304/ /pubmed/37402290 http://dx.doi.org/10.21470/1678-9741-2022-0355 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ozcan, Sevgi
Dönmez, Esra
Ziyrek, Murat
Mert, Bülent
Şahin, Irfan
Okuyan, Ertuğrul
Özkaynak, Berk
The Predictive Ability of MAGGIC Score After Coronary Artery Bypass Grafting: A Comparative Study
title The Predictive Ability of MAGGIC Score After Coronary Artery Bypass Grafting: A Comparative Study
title_full The Predictive Ability of MAGGIC Score After Coronary Artery Bypass Grafting: A Comparative Study
title_fullStr The Predictive Ability of MAGGIC Score After Coronary Artery Bypass Grafting: A Comparative Study
title_full_unstemmed The Predictive Ability of MAGGIC Score After Coronary Artery Bypass Grafting: A Comparative Study
title_short The Predictive Ability of MAGGIC Score After Coronary Artery Bypass Grafting: A Comparative Study
title_sort predictive ability of maggic score after coronary artery bypass grafting: a comparative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10358304/
https://www.ncbi.nlm.nih.gov/pubmed/37402290
http://dx.doi.org/10.21470/1678-9741-2022-0355
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