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Evaluation of the reliability of the EuroSCORE riskanalysis prediction in high-risk older patients undergoing CABG
BACKGROUND: The aim of this prospective study was to evaluate the reliability of EuroSCORE risk-analysis predictions on early mortality in high-risk older patients who underwent heart surgery. METHODS: From January 2008 to February 2009, a total of 128 consecutive high-risk older patients who underw...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Clinics Cardive Publishing
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721768/ https://www.ncbi.nlm.nih.gov/pubmed/20024473 |
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author | Iyem, Hïkmet |
author_facet | Iyem, Hïkmet |
author_sort | Iyem, Hïkmet |
collection | PubMed |
description | BACKGROUND: The aim of this prospective study was to evaluate the reliability of EuroSCORE risk-analysis predictions on early mortality in high-risk older patients who underwent heart surgery. METHODS: From January 2008 to February 2009, a total of 128 consecutive high-risk older patients who underwent open-heart surgery were included. Patients who required emergency surgery, had pulmonary hypertension, a recent myocardial infarction, underwent combined heart surgery procedures or had renal disease were included. The patients had a mean age of 72 ± 9 years (range 64–91, 53.1% male) and were evaluated for surgery. RESULTS: Coronary artery bypass graft (CABG) surgery was performed on 112 patients and valve surgery on 16. Eight patients (6.25%) died in hospital. The observed mortality rate was lower than the expected mortality obtained using EuroSCORE (6.25% vs 11.2 ± 7.2%, respectively, p < 0.021). CONCLUSION: There was no correlation between the pre-operative logarithmic score of expected mortality and the observed mortality rate in these older high-risk patients who underwent open-heart surgery. |
format | Online Article Text |
id | pubmed-3721768 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Clinics Cardive Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-37217682013-08-07 Evaluation of the reliability of the EuroSCORE riskanalysis prediction in high-risk older patients undergoing CABG Iyem, Hïkmet Cardiovasc J Afr Cardiovascular Topics BACKGROUND: The aim of this prospective study was to evaluate the reliability of EuroSCORE risk-analysis predictions on early mortality in high-risk older patients who underwent heart surgery. METHODS: From January 2008 to February 2009, a total of 128 consecutive high-risk older patients who underwent open-heart surgery were included. Patients who required emergency surgery, had pulmonary hypertension, a recent myocardial infarction, underwent combined heart surgery procedures or had renal disease were included. The patients had a mean age of 72 ± 9 years (range 64–91, 53.1% male) and were evaluated for surgery. RESULTS: Coronary artery bypass graft (CABG) surgery was performed on 112 patients and valve surgery on 16. Eight patients (6.25%) died in hospital. The observed mortality rate was lower than the expected mortality obtained using EuroSCORE (6.25% vs 11.2 ± 7.2%, respectively, p < 0.021). CONCLUSION: There was no correlation between the pre-operative logarithmic score of expected mortality and the observed mortality rate in these older high-risk patients who underwent open-heart surgery. Clinics Cardive Publishing 2009-12 /pmc/articles/PMC3721768/ /pubmed/20024473 Text en Copyright © 2010 Clinics Cardive Publishing http://creativecommons.org/licenses/by/2.5/ 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 | Cardiovascular Topics Iyem, Hïkmet Evaluation of the reliability of the EuroSCORE riskanalysis prediction in high-risk older patients undergoing CABG |
title | Evaluation of the reliability of the EuroSCORE riskanalysis prediction in high-risk older patients undergoing CABG |
title_full | Evaluation of the reliability of the EuroSCORE riskanalysis prediction in high-risk older patients undergoing CABG |
title_fullStr | Evaluation of the reliability of the EuroSCORE riskanalysis prediction in high-risk older patients undergoing CABG |
title_full_unstemmed | Evaluation of the reliability of the EuroSCORE riskanalysis prediction in high-risk older patients undergoing CABG |
title_short | Evaluation of the reliability of the EuroSCORE riskanalysis prediction in high-risk older patients undergoing CABG |
title_sort | evaluation of the reliability of the euroscore riskanalysis prediction in high-risk older patients undergoing cabg |
topic | Cardiovascular Topics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721768/ https://www.ncbi.nlm.nih.gov/pubmed/20024473 |
work_keys_str_mv | AT iyemhikmet evaluationofthereliabilityoftheeuroscoreriskanalysispredictioninhighriskolderpatientsundergoingcabg |