EuroSCORE Versus EuroSCORE II in Evaluation of the Risk of Cardiac Surgery: Review Article.

Autor: Elnahal, Nezar Mohamed Hosny, Mahdy, Ahmed Mahmoud Sharawy, Elnewihy, Mostafa Abdelmohsen, Mohammed, Mohammed Ismail
Předmět:
Zdroj: Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2021, Vol. 12 Issue 7, p463-471, 9p
Abstrakt: Background: The EuroSCORE-II has been recently developed in an attempt to address the shortcomings of the original EuroSCORE models for contemporary cardiac surgery. The validations of the EuroSCORE-II have so far been positive. There is striking similarity between the two models however there are a number of key differences between the two in the EuroSCORE-II renal impairment has been split into categories rather than dichotomized, neurological dysfunction has been replaced with poor mobility and the level of dyspnea and diabetes are now included. Postinfarct septal rupture is no longer included and both the operation type and urgency have been reclassified. Objective: Aim of review article to highlight EuroSCORE versus EuroSCORE II in evaluation of the risk of cardiac surgery. Methods: The databases were searched for articles published in English in 3 data bases [PubMed -- Google scholar- science direct] and Boolean operators (AND, OR, NOT) had been used such as [Cardiac Surgery AND EuroSCORE OR EuroSCORE II] and in peer-reviewed articles between 1994 and 2021. Conclusions: EuroSCORE II had better predictive discrimination for operative mortality than EuroSCORE I, which greatly overestimated this risk. EuroSCORE II fared well compared with the risk of cardiac surgery. The inclusive nature of EuroSCORE II for numerous procedures provides more flexibility than the risk of cardiac surgery for complex procedures. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index