EuroSCORE (Additive)
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~Patient-related factors
Age
Gender Male Female
Chronic pulmonary disease Yes No
Extracardiac arteriopathy Yes No
Neurological dysfunction Yes No
Previous cardiac surgery Yes No
Serum creatinine >200m µmol/L Yes No
Active endocarditis Yes No
Critical preoperative state Yes No
~Cardiac-related factors
Unstable angina Yes No
LV dysfunction Poor Moderate Good
Recent myocardial infarct Yes No
Pulmonary hypertension Yes No
~Operation-related factors
Emergency Yes No
Other than isolated CABG Yes No
Surgery on thoracic aorta Yes No
Post infarct septal rupture Yes No
R e s u l t s
~Patient-related factors
 
~Cardiac-related factors
 
~Operation-related factors
 
Additive euro SCORE
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EuroSCORE (Additive)

The EuroSCORE (European System for Cardiac Operative Risk Evaluation) predicts overall mortality for cardiac operations. It has been validated in both Europe and in the United States with predicted mortality being almost identical to actual mortality observed.

This item specifically is for the logistic EuroSCORE. There are 2 forms of the EuroSCORE; these being the:

  1. The Simple Additive EuroSCORE: This model is well established and has been validated in many patient populations across the world. It is simple to use and is valid for most patients. However, in very high risk patients, operative risk may be underestimated.
  2. The Full logistic EuroSCORE: This score provides a better mortality estimate for particular high risk patients; but the mathematics are more complex.

Note:

  • Chronic pulmonary disease Long term use of bronchodilators or steroids for lung disease
  • Extracardiac arteriopathy One or more of claudication, carotid occlusion or >50% stenosis, previous or planned intervention on the abdominal aorta, limb arteries or carotids
  • Neurological dysfunction Disease severely affecting ambulation or day-to-day functioning
  • Active endocarditis Patient still on antibiotic treatment for endocarditis at time of surgery
  • Critical preoperative state Ventricular Tachycardia / Ventricular Fibrillation or aborted sudden death, preoperative cardiac massage, preoperative ventilation before anaesthetic room, preoperative inotropes or IABP, preoperative Acute Renal Failure (anuria or oliguria <10ml/hr)
  • Unstable angina Rest angina requiring i.v. nitrates until arrival in anaesthetic room
  • Recent MI Myocardial infarction within 90 days
  • Pulmonary hypertension Systolic pulmonary artery pressure >60mmHg
  • Emergency Operation before beginning of next working day

References:

  1. Nashef SA, Roques F, Hammill BG, et al. Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. Eur J Cardiothorac Surg . 2002;(22):101-105.
  2. Roques F, Nashef SA, Michel P, et al. Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19030 patients. Eur J Cardiothorac Surg . 1999;15(6):816-22.
  3. Roques F, Nashef SA, Michel P, et al. The logistic EuroSCORE. Eur Heart J . 2003;24(9):882-3.