Abstract
Objective
Validation of the EuroSCORE as predictor for a prolonged hospital and intensive care stay after CABG vs. institution-specific scoring systems.
Methods
For the evaluation of a prolonged hospital stay, 3359 patients were included in the analysis of EuroSCORE vs. the CORRAD morbidity score. For a prolonged intensive care stay, 1638 patients were included in the analysis of the EuroSCORE vs. the PICUS score.
Results
There was no significant difference in hospital stay between the three different EuroSCORE risk groups. The difference in hospital stay between the high-risk and low-risk groups, identified by the CORRAD morbidity score, was significant (6.9 vs.11.2 days). For a prolonged intensive care stay, the patients identified as high risk by the EuroSCORE and by the PICUS score also had a significantly longer intensive care stay; however, the discriminatory power was low.
Conclusion
The EuroSCORE is not of value as a predictive system for a prolonged hospital stay. There is a relation between the high-risk patients identified by the EuroSCORE and a prolonged intensive care stay.
Keywords: coronary bypass surgery, EuroSCORE, hospital stay, intensive care stay, prediction
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Selected References
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- Ferguson T. B., Jr, Dziuban S. W., Jr, Edwards F. H., Eiken M. C., Shroyer A. L., Pairolero P. C., Anderson R. P., Grover F. L. The STS National Database: current changes and challenges for the new millennium. Committee to Establish a National Database in Cardiothoracic Surgery, The Society of Thoracic Surgeons. Ann Thorac Surg. 2000 Mar;69(3):680–691. doi: 10.1016/s0003-4975(99)01538-6. [DOI] [PubMed] [Google Scholar]
- Geissler H. J., Hölzl P., Marohl S., Kuhn-Régnier F., Mehlhorn U., Südkamp M., de Vivie E. R. Risk stratification in heart surgery: comparison of six score systems. Eur J Cardiothorac Surg. 2000 Apr;17(4):400–406. doi: 10.1016/s1010-7940(00)00385-7. [DOI] [PubMed] [Google Scholar]
- Nashef S. A., Roques F., Michel P., Gauducheau E., Lemeshow S., Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg. 1999 Jul;16(1):9–13. doi: 10.1016/s1010-7940(99)00134-7. [DOI] [PubMed] [Google Scholar]
- Warner C. D., Weintraub W. S., Craver J. M., Jones E. L., Gott J. P., Guyton R. A. Effect of cardiac surgery patient characteristics on patient outcomes from 1981 through 1995. Circulation. 1997 Sep 2;96(5):1575–1579. doi: 10.1161/01.cir.96.5.1575. [DOI] [PubMed] [Google Scholar]