Application and Prospect of EuroSCORE and SinoSCORE for the Prediction of Mortality after Cardiovascular Surgery in Adults_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HANGYong-bin , ZHAOWen-zeng

Department of Cardiovascular Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450003, P. R. China;

Corresponding author：

Keywords：

Cardiac surgery; EuroSCORE; SinoSCORE; Risk assessment; Mortality

DOI：

10.7507/1007-4848.20140072

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With significantly increasing proportion of high-risk patients undergoing cardiovascular surgery, a quantitative risk stratification system of perioperative patients is needed for cardiovascular surgeons. European system for cardiac operative risk evaluation (EuroSCORE) is a widely-used risk prediction model for adult patients undergoing cardiovascular surgery in the world. Research data from Chinese Cardiac Surgery Registry show that the performance of EuroSCORE in the prediction of postoperative risk of Chinese cardiovascular surgical patients is not satisfactory. Thus, the first Chinese coronary operative risk evaluation model (Sino system for coronary operative risk evaluation,SinoSCORE) is established with latest cardiovascular surgery data by Collaboration Association of Cardiovascular Surgeon in China, and has been widely used in clinical practice. This review focuses on the application and prospect of EuroSCORE and SinoSCORE for the prediction of mortality after cardiovascular surgery in adults.

Citation： HANGYong-bin, ZHAOWen-zeng. Application and Prospect of EuroSCORE and SinoSCORE for the Prediction of Mortality after Cardiovascular Surgery in Adults. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(2): 253-257. doi: 10.7507/1007-4848.20140072 Copy

1.	Geissler HJ,Marohl S.Risk stratification in heart surgery:comparison of six score systems.Eur J Cardiothorac Surg,2000,17 (4):400-406.
2.	Tu J,Jaglal SB,Naylor CD.Muhicenter validation of a risk index for mortality,intensive care unit stay,and overall hospital length of stay after cardiac surgery.Circulation,1995,91:677-684.
3.	Higgins TL,Estafanous FG,Loop FD,et al.Stratification of mot.bidity and mortality outcome by preoperative risk factors in coronary artery bypass patients.A clinical severity score.JAMA,1992,267:2344-2348.
4.	Parsonnet V,Dean D,Bernstein AD.A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease.Circulation,1989,79 (6 Pt 2):I3-12.
5.	Fortescue Eb,Kahn K,Bates DW.Validation of a Clinical Prediction Rule for Major Adverse Outcomes in Coronary Bypass Grafting.Am J Cardiol,2001,88 (1):1251-1258.
6.	Clark RE.It is time for a National cardiothoracic surgical data base.Ann Thorac Surg,1989,48 (6):755-756.
7.	Roques F,Nashef SA,Michel P,et al.Risk factors and outcome in European cardiac surgery:analysis of the EuroSCORE multinational database of 19030 patients.Eur J Cardiothorac Surg,1999,15 (6):816-823.
8.	Losay J,Petit J,Lambert V,et al.Percutaneous closure with Amplatzer device is a safe and efficient alternative to surgery in adults with large atrial septal defects.Am Heart J,2001,142 (3):544-548.
9.	Yap CH,Reid C,Yii M,et al.Validation of the EuroSCORE model in Australia.Eur J Cardiothorac Surg,2006,29 (4):441-446.
10.	Roques F,Michel P,Nashef S,et al.The logistic EuroSCORE.Eur Heart J,2003,25 (2):881-882.
11.	Li Y,Zheng Z,Hu S.Global burden of cardiovasculardisease:The Chinese coronary artery bypass grafting registry study:analysis of the National multicentre database of 9248 patients.Heart,2009,95:1140-1144.
12.	胡盛寿,郑哲.国人冠状动脉旁路移植术风险评估的研究概况.中华胸心血管外科杂志,2011,27 (2):65-66.
13.	Edwards FH,Grover FL,Shroyer AL,et al.The society of thoracic surgeons National cardiac surgery database:current risk assessment.Ann Thorac Surg,1997,63 (3)903-908.
14.	O'brien SM,Shahian DM,Filardo G,et al.The Society of Thoracic Surgeons 2008 cardiac surgery risk models:part 2-isolated valve surgery.Ann Thorac Surg,2009,88 (1 Suppl):S23-S42.
15.	Shahian DM,O'brien SM,Filardo G,et al.The Society of thoracic Surgeons 2008 cardiac surgery risk models:part 3-valve plus coronary artery bypass grafting surgery.Ann Thorac Surg,2009,88 (1 Suppl):S43-S62.
16.	Eagle KA,Guyton RA,Davidoff R,et al.ACC/AHA guidelines for coronary artery bypass graft surgery:executive summary and recommendations.Indian J Thorac Cardiovasc Surg,2000,16 (2):110-128.
17.	Nashef S,Roques F,Michel P,et al.European system for cardiac operative risk evaluation (EuroSCORE).Eur J Cardiothorac Surg,1999,16 (1):9-13.
18.	Nashef SA,Roques F,Hammill BG,et al.Validation of European system for cardiac operative risk evaluation (EuroSCORE) in North American cardiac surgery.Eur J Cardiothorac Surg,2002,22 (1):101-105.
19.	Hirose H,Noguchi C,Inaba H,et al.The role of EuroSCORE in patients undergoing off-pump coronary artery bypass.Interact Cardiovasc Thorac Surg,2010,10 (5):771-776.
20.	Toumpoulis IK,Anagnostopoulos CE,Toumpoulis SK,et al.EuroSCORE predicts long-term mortality after heart valve surgery.Ann Thorac Surg,2005,79 (6):1902-1908.
21.	Toumpoulis IK,Anagnostopoulos CE,Swistel DG,et al.Does EuroSCORE predict length of stay and specific postoperative complications after cardiac surgery? Eur J Cardiothorac Surg,2005,27 (1):128-133.
22.	Messaoudi N,De Cocker J,Stockman BA,et al.Is EuroSCORE useful in the prediction of extended intensive care unit stay after cardiac surgery? Eur J Cardiothorac Surg,2009,36 (1):35-39.
23.	Pinna Pintor P,BobbioM,Colangelo S,et al.Can EuroSCORE predict direct cost s of cardiac surgery? Eur J Cardiot horac Surg.2003,23 (4):595-598.
24.	Nilsson J,Algotsson L,Höglund P,et al.EuroSCORE predicts intensive care unit stay and costs of open heart surgery.Ann Thorac Surg,2004,78 (5):1528-1534.
25.	Kawachi Y,Nakashima A,Toshima Y,et al.Evaluation of the quality of cardiovascular surgery care using risk stratification analysis according to the EuroSCORE additive model.Circ J,2002,66 (2):145-148.
26.	Peric V,Borzanovic M,Jovanovic A,et al.The relationship between EuroSCORE preoperative risk prediction and quality of Life changes after coronary artery by-pass surgery.Interact Cardiovasc Thorac Surg,2005,4 (6):622-626.
27.	王东进,李庆国,王强,等.EuroSCORE对冠状动脉旁路移植术后早期死亡的预测价值.中华外科杂志,2009,47 (8):583-585.
28.	崔虎军,肖锋,李岩,等.高手术风险冠状动脉旁路移植术早期临床结果分析.中国胸心血管外科临床杂志,2006,13 (3):145-150.
29.	陈炬,华平,彭江洲,等.成人体外循环心脏手术的风险评价.岭南现代临床外科,2006,6 (6):468-469,478.
30.	中国心血管外科注册登记研究协作组.非体外循环冠状动脉旁路移植术后早期死亡风险预测-SinoSCORE与EuroSCORE评分的对比.中华胸心血管外科杂志,2011,27 (2):75-77.
31.	Ghazy T,Kappert U,Ouda A,et al.A question of clinical reliability:observed versus EuroSCORE-predicted mortality after aortic valve replacement.J Heart Valve Dis,2010,19 (1):16-20.
32.	Holinski S,Claus B,Christ T,et al.Overestimation ofthe operative risk by the EuroSCORE also in higIl-risk patients undergoing aortic valve replacement with a stentless biological prosthesis.Heart Surg Forum,2010,13 (1):E13-16.
33.	Parolari A,Pesce LL,Trezzi M,et al.EuroSCORE performance in valve surgery:a meta-analysis.Ann Thorac Surg,2010,89 (3):787-793,793.e1-2.
34.	WANG Chong,YAO Feng,HAN Lin,et al.Validation of the European system for cardiac operative risk evaluation (EuroSCORE) in Chinese heart valve surgery patients.J Heart Valve Dis,2010,19 (1):21-27.
35.	中国心血管外科注册登记研究协作组.SinoSCORE预测瓣膜手术死亡风险.中华胸心血管外科病杂志,2011,27 (2):81-83.
36.	王崇,韩林,陆方林,等.SinoSCORE预测瓣膜手术在院死亡风险——第二军医大学长海医院胸心外科经验.中华胸心血管外科杂志,2013,29 (4):193-195.
37.	王崇,韩林,张冠鑫,等.心脏瓣膜手术在院死亡风险预测模型及评分标准的建立.中国胸心血管外科临床杂志,2011,18 (1):2-10.
38.	中国心血管外科注册登记研究协作组.SinoSCORE对老年心血管外科病人的手术风险预测作用.中华胸心血管外科杂志,2011,27 (2):84-86.
39.	苏丕雄,刘岩.顾松等SinoSCORE对CABG术后死亡和并发症的预测价值.中华胸心血管外科杂志,2011,27 (2):71-74.
40.	郭惠明,吴若彬.肖学钧等SinoSCORE预测心血管外科手术病死率-广东心血管病研究所经验.中华胸心血管外科杂志,2011,27 (2):78-80.
41.	钱永军,张尔永,安琪,等.SinoSCORE对成人心脏手术后院内死亡风险的预测——中国成人心脏外科数据库华西医院数据报告.中国胸心血管外科临床杂志,2012,19 (4):362-365.

1. Geissler HJ,Marohl S.Risk stratification in heart surgery:comparison of six score systems.Eur J Cardiothorac Surg,2000,17 (4):400-406.
2. Tu J,Jaglal SB,Naylor CD.Muhicenter validation of a risk index for mortality,intensive care unit stay,and overall hospital length of stay after cardiac surgery.Circulation,1995,91:677-684.
3. Higgins TL,Estafanous FG,Loop FD,et al.Stratification of mot.bidity and mortality outcome by preoperative risk factors in coronary artery bypass patients.A clinical severity score.JAMA,1992,267:2344-2348.
4. Parsonnet V,Dean D,Bernstein AD.A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease.Circulation,1989,79 (6 Pt 2):I3-12.
5. Fortescue Eb,Kahn K,Bates DW.Validation of a Clinical Prediction Rule for Major Adverse Outcomes in Coronary Bypass Grafting.Am J Cardiol,2001,88 (1):1251-1258.
6. Clark RE.It is time for a National cardiothoracic surgical data base.Ann Thorac Surg,1989,48 (6):755-756.
7. Roques F,Nashef SA,Michel P,et al.Risk factors and outcome in European cardiac surgery:analysis of the EuroSCORE multinational database of 19030 patients.Eur J Cardiothorac Surg,1999,15 (6):816-823.
8. Losay J,Petit J,Lambert V,et al.Percutaneous closure with Amplatzer device is a safe and efficient alternative to surgery in adults with large atrial septal defects.Am Heart J,2001,142 (3):544-548.
9. Yap CH,Reid C,Yii M,et al.Validation of the EuroSCORE model in Australia.Eur J Cardiothorac Surg,2006,29 (4):441-446.
10. Roques F,Michel P,Nashef S,et al.The logistic EuroSCORE.Eur Heart J,2003,25 (2):881-882.
11. Li Y,Zheng Z,Hu S.Global burden of cardiovasculardisease:The Chinese coronary artery bypass grafting registry study:analysis of the National multicentre database of 9248 patients.Heart,2009,95:1140-1144.
12. 胡盛寿,郑哲.国人冠状动脉旁路移植术风险评估的研究概况.中华胸心血管外科杂志,2011,27 (2):65-66.
13. Edwards FH,Grover FL,Shroyer AL,et al.The society of thoracic surgeons National cardiac surgery database:current risk assessment.Ann Thorac Surg,1997,63 (3)903-908.
14. O'brien SM,Shahian DM,Filardo G,et al.The Society of Thoracic Surgeons 2008 cardiac surgery risk models:part 2-isolated valve surgery.Ann Thorac Surg,2009,88 (1 Suppl):S23-S42.
15. Shahian DM,O'brien SM,Filardo G,et al.The Society of thoracic Surgeons 2008 cardiac surgery risk models:part 3-valve plus coronary artery bypass grafting surgery.Ann Thorac Surg,2009,88 (1 Suppl):S43-S62.
16. Eagle KA,Guyton RA,Davidoff R,et al.ACC/AHA guidelines for coronary artery bypass graft surgery:executive summary and recommendations.Indian J Thorac Cardiovasc Surg,2000,16 (2):110-128.
17. Nashef S,Roques F,Michel P,et al.European system for cardiac operative risk evaluation (EuroSCORE).Eur J Cardiothorac Surg,1999,16 (1):9-13.
18. Nashef SA,Roques F,Hammill BG,et al.Validation of European system for cardiac operative risk evaluation (EuroSCORE) in North American cardiac surgery.Eur J Cardiothorac Surg,2002,22 (1):101-105.
19. Hirose H,Noguchi C,Inaba H,et al.The role of EuroSCORE in patients undergoing off-pump coronary artery bypass.Interact Cardiovasc Thorac Surg,2010,10 (5):771-776.
20. Toumpoulis IK,Anagnostopoulos CE,Toumpoulis SK,et al.EuroSCORE predicts long-term mortality after heart valve surgery.Ann Thorac Surg,2005,79 (6):1902-1908.
21. Toumpoulis IK,Anagnostopoulos CE,Swistel DG,et al.Does EuroSCORE predict length of stay and specific postoperative complications after cardiac surgery? Eur J Cardiothorac Surg,2005,27 (1):128-133.
22. Messaoudi N,De Cocker J,Stockman BA,et al.Is EuroSCORE useful in the prediction of extended intensive care unit stay after cardiac surgery? Eur J Cardiothorac Surg,2009,36 (1):35-39.
23. Pinna Pintor P,BobbioM,Colangelo S,et al.Can EuroSCORE predict direct cost s of cardiac surgery? Eur J Cardiot horac Surg.2003,23 (4):595-598.
24. Nilsson J,Algotsson L,Höglund P,et al.EuroSCORE predicts intensive care unit stay and costs of open heart surgery.Ann Thorac Surg,2004,78 (5):1528-1534.
25. Kawachi Y,Nakashima A,Toshima Y,et al.Evaluation of the quality of cardiovascular surgery care using risk stratification analysis according to the EuroSCORE additive model.Circ J,2002,66 (2):145-148.
26. Peric V,Borzanovic M,Jovanovic A,et al.The relationship between EuroSCORE preoperative risk prediction and quality of Life changes after coronary artery by-pass surgery.Interact Cardiovasc Thorac Surg,2005,4 (6):622-626.
27. 王东进,李庆国,王强,等.EuroSCORE对冠状动脉旁路移植术后早期死亡的预测价值.中华外科杂志,2009,47 (8):583-585.
28. 崔虎军,肖锋,李岩,等.高手术风险冠状动脉旁路移植术早期临床结果分析.中国胸心血管外科临床杂志,2006,13 (3):145-150.
29. 陈炬,华平,彭江洲,等.成人体外循环心脏手术的风险评价.岭南现代临床外科,2006,6 (6):468-469,478.
30. 中国心血管外科注册登记研究协作组.非体外循环冠状动脉旁路移植术后早期死亡风险预测-SinoSCORE与EuroSCORE评分的对比.中华胸心血管外科杂志,2011,27 (2):75-77.
31. Ghazy T,Kappert U,Ouda A,et al.A question of clinical reliability:observed versus EuroSCORE-predicted mortality after aortic valve replacement.J Heart Valve Dis,2010,19 (1):16-20.
32. Holinski S,Claus B,Christ T,et al.Overestimation ofthe operative risk by the EuroSCORE also in higIl-risk patients undergoing aortic valve replacement with a stentless biological prosthesis.Heart Surg Forum,2010,13 (1):E13-16.
33. Parolari A,Pesce LL,Trezzi M,et al.EuroSCORE performance in valve surgery:a meta-analysis.Ann Thorac Surg,2010,89 (3):787-793,793.e1-2.
34. WANG Chong,YAO Feng,HAN Lin,et al.Validation of the European system for cardiac operative risk evaluation (EuroSCORE) in Chinese heart valve surgery patients.J Heart Valve Dis,2010,19 (1):21-27.
35. 中国心血管外科注册登记研究协作组.SinoSCORE预测瓣膜手术死亡风险.中华胸心血管外科病杂志,2011,27 (2):81-83.
36. 王崇,韩林,陆方林,等.SinoSCORE预测瓣膜手术在院死亡风险——第二军医大学长海医院胸心外科经验.中华胸心血管外科杂志,2013,29 (4):193-195.
37. 王崇,韩林,张冠鑫,等.心脏瓣膜手术在院死亡风险预测模型及评分标准的建立.中国胸心血管外科临床杂志,2011,18 (1):2-10.
38. 中国心血管外科注册登记研究协作组.SinoSCORE对老年心血管外科病人的手术风险预测作用.中华胸心血管外科杂志,2011,27 (2):84-86.
39. 苏丕雄,刘岩.顾松等SinoSCORE对CABG术后死亡和并发症的预测价值.中华胸心血管外科杂志,2011,27 (2):71-74.
40. 郭惠明,吴若彬.肖学钧等SinoSCORE预测心血管外科手术病死率-广东心血管病研究所经验.中华胸心血管外科杂志,2011,27 (2):78-80.
41. 钱永军,张尔永,安琪,等.SinoSCORE对成人心脏手术后院内死亡风险的预测——中国成人心脏外科数据库华西医院数据报告.中国胸心血管外科临床杂志,2012,19 (4):362-365.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application and Prospect of EuroSCORE and SinoSCORE for the Prediction of Mortality after Cardiovascular Surgery in Adults

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