Prediction of surgical risk in patients with endocarditis: Comparison of logistic EuroSCORE, EuroSCORE II and APORTEI score
| Autor: | Francisco Portela, María Ángeles Tena, Iballa Horcajada, Federico Paredes, Miguel González-Barbeito, Stefano Urso |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Microbiology (medical) Logistic euroscore medicine.medical_specialty 030106 microbiology Risk Assessment 03 medical and health sciences 0302 clinical medicine Euroscore ii Risk Factors Internal medicine medicine Humans Endocarditis 030212 general & internal medicine Cardiac Surgical Procedures Framingham Risk Score business.industry Mortality rate Area under the curve medicine.disease Cardiac surgery Area Under Curve Infective endocarditis Cardiology business |
| Zdroj: | Enfermedades infecciosas y microbiologia clinica (English ed.). 39:244-247 |
| ISSN: | 2529-993X |
| DOI: | 10.1016/j.eimce.2020.05.013 |
| Popis: | Objectives APORTEI score is a new risk prediction model for patients with infective endocarditis. It has been recently validated on a Spanish multicentric national cohort of patients. The aim of the present study is to compare APORTEI performances with logistic EuroSCORE and EuroSCORE II by testing calibration and discrimination on a local sample population underwent cardiac surgery because of endocarditis. Methods We tested three prediction scores on 111 patients underwent surgery from 2014 to 2020 at our Institution because of infective endocarditis. Area under the curves and Hosmer–Lemeshow test were used to analyze discrimination and calibration respectively of logistic EuroSCORE, EuroSCORE II and APORTEI score. Results The overall observed one-month mortality rate was 21.6%. The observed-to-expected ratio was 1.27 for logistic EuroSCORE, 3.27 for EuroSCORE II and 0.94 for APORTEI. The area under the curve (AUC) value of APORTEI (0.88 ± 0.05) was significantly higher than that one of logistic EuroSCORE (AUC 0.77 ± 0.05; p 0.0001) and of EuroSCORE II (AUC 0.74 ± 0.05; p 0.0005). Hosmer–Lemeshow test showed better calibration performance of the APORTEI, (logistic EuroSCORE: p 0.19; EuroSCORE II: p 0.11; APORTEI: p 0.56). Conclusion APORTEI risk score shows significantly higher performances in term of discrimination and calibration compared with both logistic EuroSCORE and EuroSCORE II. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect