Skip to main content
Journal cover image

Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery.

Publication ,  Journal Article
Nashef, SAM; Roques, F; Hammill, BG; Peterson, ED; Michel, P; Grover, FL; Wyse, RKH; Ferguson, TB; EurpSCORE Project Group,
Published in: Eur J Cardiothorac Surg
July 2002

OBJECTIVE: To assess the performance of the European System for Cardiac Operative Risk Evaluation (EuroSCORE) when applied in a North American cardiac surgical population. METHODS: The simple additive EuroSCORE model was applied to predict operative mortality (in-hospital or 30-day) in 401684 patients undergoing coronary or valve surgery in 1998 and 1999 as well as in 188913 patients undergoing surgery in 1995 in the Society of Thoracic Surgeons (STS) database. RESULTS: The proportion of isolated coronary artery bypass grafting (CABG) was greater in STS patients (84%) than in Europe (65%). STS patients were also older (mean age 65.3 versus 62.5), and had more diabetes (30 versus 17%) and prior cardiac surgery (11 versus 7%). Other comorbidity was also significantly more prevalent in STS patients. EuroSCORE predicted overall mortality was virtually identical to the observed mortality (1998/1999: predicted 3.994%, observed 3.992%; 1995: observed and predicted 4.156%). Predicted mortality also closely matched observed mortality across the risk groups. Discrimination was good to very good for the population overall and for isolated CABG in both time periods, with the area under the receiver operating characteristic curve between 0.75 and 0.78. CONCLUSION: Despite substantial demographic differences between Europe and North America, EuroSCORE performs very well in the STS database, and can be recommended as a simple, additive risk stratification system on both sides of the Atlantic.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Eur J Cardiothorac Surg

DOI

ISSN

1010-7940

Publication Date

July 2002

Volume

22

Issue

1

Start / End Page

101 / 105

Location

Germany

Related Subject Headings

  • Risk Assessment
  • Respiratory System
  • Registries
  • North America
  • Logistic Models
  • Humans
  • Europe
  • Coronary Artery Bypass
  • Cardiac Surgical Procedures
  • 3201 Cardiovascular medicine and haematology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Nashef, S. A. M., Roques, F., Hammill, B. G., Peterson, E. D., Michel, P., Grover, F. L., … EurpSCORE Project Group, . (2002). Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. Eur J Cardiothorac Surg, 22(1), 101–105. https://doi.org/10.1016/s1010-7940(02)00208-7
Nashef, Samer A. M., Francois Roques, Bradley G. Hammill, Eric D. Peterson, Philippe Michel, Frederick L. Grover, Richard K. H. Wyse, T Bruce Ferguson, and T Bruce EurpSCORE Project Group. “Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery.Eur J Cardiothorac Surg 22, no. 1 (July 2002): 101–5. https://doi.org/10.1016/s1010-7940(02)00208-7.
Nashef SAM, Roques F, Hammill BG, Peterson ED, Michel P, Grover FL, et al. Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. Eur J Cardiothorac Surg. 2002 Jul;22(1):101–5.
Nashef, Samer A. M., et al. “Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery.Eur J Cardiothorac Surg, vol. 22, no. 1, July 2002, pp. 101–05. Pubmed, doi:10.1016/s1010-7940(02)00208-7.
Nashef SAM, Roques F, Hammill BG, Peterson ED, Michel P, Grover FL, Wyse RKH, Ferguson TB, EurpSCORE Project Group. Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. Eur J Cardiothorac Surg. 2002 Jul;22(1):101–105.
Journal cover image

Published In

Eur J Cardiothorac Surg

DOI

ISSN

1010-7940

Publication Date

July 2002

Volume

22

Issue

1

Start / End Page

101 / 105

Location

Germany

Related Subject Headings

  • Risk Assessment
  • Respiratory System
  • Registries
  • North America
  • Logistic Models
  • Humans
  • Europe
  • Coronary Artery Bypass
  • Cardiac Surgical Procedures
  • 3201 Cardiovascular medicine and haematology