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Comparison of standard Euroscore, logistic Euroscore and Euroscore II in prediction of early mortality following coronary artery bypass grafting [Anatol J Cardiol]
Anatol J Cardiol. 2013; 13(5): 425-431 | DOI: 10.5152/akd.2013.136  

Comparison of standard Euroscore, logistic Euroscore and Euroscore II in prediction of early mortality following coronary artery bypass grafting

Ahmet Akgül1, Mete Gürsoy1, Vedat Bakuy1, Ebru Bal Polat1, İbrahim Gürkan Kömürcü1, Ali Aycan Kavala1, Saygın Türkyılmaz1, İlker Murat Çağlar2, Yasemin Tekdöş3, Mehmet Atay1, Şenel Altun1, Cabir Gulmaliyev1, Seymur Memmedov1
1Bakırköy Dr. Sadi Konuk Eğitim Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul-Türkiye
2Bakırköy Dr. Sadi Konuk Eğitim Araştırma Hastanesi, Kardiyoloji Kliniği, İstanbul-Türkiye
3Bakırköy Dr. Sadi Konuk Eğitim Araştırma Hastanesi, Anestezi ve Reanimasyon Kliniği, İstanbul-Türkiye

EuroSCORE which had been published in 1999, was revised as a Logistic EuroSCORE in 2003. Further it was reconsidered and published as EuroSCORE II in 2011. In this study we compared Standard, Logistic EuroSCORE and EuroSCORE II in prediction of early mortality following coronary artery bypass grafting. Methods: We retrospectively analyzed 406 patients who underwent coronary artery bypass grafting operation between 2011-1012. Standard, Logistic and new version were compared with ROC analysis. Results: In general population, mean standard EuroSCORE was 3.25±1.05, mean logistic EuroSCORE was found 2.48±0.58, mean EuroSCORE II was found 1.30 ± 0.09 and overall mortality was 10 (10/406 2.46%). Area under curve (AUC) was found 0.992 95% CI: 0.978-0.998 for standard EuroSCORE, 0.992 95% CI: 0.977-0.998 for logistic EuroSCORE and 0.990 95% CI: 0.975-0.997 for EuroSCORE II. In high risk patients (patients with standard EuroSCORE ≥ 6) AUC was found 0.870 95% CI 0.707-0.961 for standard EuroSCORE, 0.857 95% CI 0.691-0.954 for logistic EuroSCORE, and 0.961 95% CI: 0.829-0.998 for EuroSCORE II. Conclusion: Standard, Logistic EuroSCORE and EuroSCORE II are similarly successful in mortality prediction. EuroSCORE II may be better in high-risk patients which needs confirmation in large prospective studies.

Keywords: Standard EuroSCORE, Logistic EuroSCORE, EuroSCORE II, mortality, predictive value


Ahmet Akgül, Mete Gürsoy, Vedat Bakuy, Ebru Bal Polat, İbrahim Gürkan Kömürcü, Ali Aycan Kavala, Saygın Türkyılmaz, İlker Murat Çağlar, Yasemin Tekdöş, Mehmet Atay, Şenel Altun, Cabir Gulmaliyev, Seymur Memmedov. Comparison of standard Euroscore, logistic Euroscore and Euroscore II in prediction of early mortality following coronary artery bypass grafting. Anatol J Cardiol. 2013; 13(5): 425-431


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