| Autor: |
Omar Asdrúbal Vilca Mejía, Bruna La Regina Matrangolo, David Provenzale Titinger, Leandro Batisti de Faria, Luís Roberto Palma Dallan, Filomena Regina Barbosa Galas, Luiz Augusto Ferreira Lisboa, Luís Alberto Oliveira Dallan, Fabio Biscegli Jatene |
| Jazyk: |
English<br />Portuguese |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
Arquivos Brasileiros de Cardiologia, Vol 105, Iss 5, Pp 450-456 (2015) |
| Druh dokumentu: |
article |
| ISSN: |
1678-4170 |
| DOI: |
10.5935/abc.20150101 |
| Popis: |
AbstractBackground:Risk scores for cardiac surgery cannot continue to be neglected.Objective:To assess the performance of “Age, Creatinine and Ejection Fraction Score” (ACEF Score) to predict mortality in patients submitted to elective coronary artery bypass graft and/or heart valve surgery, and to compare it to other scores.Methods:A prospective cohort study was carried out with the database of a Brazilian tertiary care center. A total of 2,565 patients submitted to elective surgeries between May 2007 and July 2009 were assessed. For a more detailed analysis, the ACEF Score performance was compared to the InsCor’s and EuroSCORE’s performance through correlation, calibration and discrimination tests.Results:Patients were stratified into mild, moderate and severe for all models. Calibration was inadequate for ACEF Score (p = 0.046) and adequate for InsCor (p = 0.460) and EuroSCORE (p = 0.750). As for discrimination, the area under the ROC curve was questionable for the ACEF Score (0.625) and adequate for InsCor (0.744) and EuroSCORE (0.763).Conclusion:Although simple to use and practical, the ACEF Score, unlike InsCor and EuroSCORE, was not accurate for predicting mortality in patients submitted to elective coronary artery bypass graft and/or heart valve surgery in a Brazilian tertiary care center. (Arq Bras Cardiol. 2015; [online].ahead print, PP.0-0) |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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