| Autor: |
Mirmohammad Sadeghi, Mohsen, Arasteh, Mahfar, Gharipour, Mojgan, Nilfroush, Peyman, Shamsolketabi, Hamid, Etesampour, Ali, Mirmohammad Sadeghi, Fatemeh, Kiani, Amjad, Mirmohammad Sadeghi, Pouya, Farahmand, Niloufar |
| Předmět: |
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| Zdroj: |
Journal of Research in Medical Sciences; Jun2011, Vol. 16 Issue 6, p787-782, 6p |
| Abstrakt: |
BACKGROUND: This study aimed to evaluate the accuracy of Euroscore (European System for Cardiac Operative Risk Evaluation) in predicting perioperative mortality after cardiac surgery in Iranian patient population. METHODS: Data on 1362 patients undergoing coronary bypass graft surgery (CABG) from 2007 to 2009 were collected. Calibration was assessed by Hosmer-Lemeshow goodness-of-fit. Area under the curve (AUC) was used to assess score validity. Odds ratios were measured to evaluate the predictive value of each risk factor on mortality rate. RESULTS: The overall perioperative in hospital mortality was 3.6% whereas the Euroscore predicted a mortality of 3.96%. Euroscore model fitted well in the validation databases. The mean AUC was 66%. Mean length of intensive care unit (ICU) stay was 2.5 ± 2.5 days. Among risk factors, only left ventricular dysfunction, age and neurologic dysfunction were found to be related to mortality rate. CONCLUSIONS: Euroscore did not have acceptable discriminatory ability in perioperative in hospital mortality in Iranian patients. It seems that development of a local mortality risk scores corresponding to our patients epidemiologic characteristics may improve prediction of outcome. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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