Review and Prospect of Clinical Application of EuroSCORE_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CANGZheng-qiang ¹ , WEIYu-jian ¹ ,  ZHANGYang-yang ²

1. The First Clinical Medical College of Nanjing Medical University, Nanjing 210029, P. R. China;
2. Department of Thoracic and Cardiovascular Surgery of The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, P. R. China;

Corresponding author：

ZHANGYang-yang, Email: zhangyangyang_md@sina.com

Keywords：

European system for cardiac operative risk evaluation(EuroSCORE); EuroSCORE Ⅱ; Clinical application

DOI：

10.7507/1007-4848.20160240

Video：

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European system for cardiac operative risk evaluation(EuroSCORE) is one of the widely used and influential cardiac surgery risk assessment system. It was originally used to predict the quantitative score of probability of death after cardiac surgery. After that, it has been developed to predict long-term mortality and survival rate, ICU residence time, treatment costs, main complications and so on. EuroSCORE Ⅱ is the latest version, which is more accurate in predicting mortality, long term survival rate than the old one. But there are also some limitations as predicting limited range of the end, underestimating the mortality of critically endangered patients, lacking adequate preoperative risk factors and so on. This review article focuses on the production, development and clinical application of EuroSCORE.

Citation： CANG Zheng-qiang, WEI Yu-jian, ZHANG Yang-yang. Review and Prospect of Clinical Application of EuroSCORE. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(10): 1012-1018. doi: 10.7507/1007-4848.20160240 Copy

1.	Geissler HJ, Hölzl P, Marohl S, et al. Risk stratification in heart surgery: comparison of six score systems. Eur J Cardiothorac Surg, 2000, 17(4): 400-406.
2.	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): 13-12.
3.	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.
4.	Nashef SA, Roques F, Michel P, et al. European system for cardiac operative risk evaluation(EuroSCORE). Eur J Cardiothorac Surg, 1999, 16(1): 9-13.
5.	Tu JV, Jaglal SB, Naylor CD. Multicenter validation of a risk index for mortality, intensive care unit stay, and overall hospital length of stay after cardiac surgery. Circulation, 1995, 91(3): 677-684.
6.	Higgins TL, Estafanous FG, Loop FD, et al. Stratification of morbidity and mortality outcome by preoperative risk factors in coronary artery bypass patients. A clinical severity score. JAMA, 1992, 267 (17): 2344-2348.
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.	Clark RE. It is time for a National cardiothoracic surgical data base. Ann Thorac Surg, 1989, 48(6): 755-756.
9.	Losay J, Petit J, Lambert V, et al. Percutaneous closure with Amplatzer device is a safe and efficient alternative to surgery in adultswith large atrial septal defects. Am Heart J, 2001, 142(3): 544-548.
10.	Yap CH, Reid C, Yii M, et al. Validation of the EuroSCORE model in Australia. Eur J Cardiothorac Surg, 2006, 29(4): 441-446.
11.	Gogbashian A, Sedrakyan A, Treasure T. EuroSCORE: a systematic review of international performance. Eur J Cardiothorac Surg, 2004, 25(5): 695-700.
12.	Roques F, Michel P, Nashef SA, et al. The logistic EuroSCORE. Eur Heart J, 2003, 24(9): 881-882.
13.	Graham I, Atar D, Borch-Johnsen K, et al. European guidelines on cardiovascular disease prevention in clinical practice: executive sum-mary: Fourth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (Constituted by representatives of nine societies and by invited experts). Eur Heart J, 2007, 28(19): 2375-2414.
14.	Nashef SA, Roques F, Sharples LD, et al. EuroSCORE II. Eur J Cardiothorac Surg, 2012, 41(4): 734-745.
15.	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.
16.	Barili F, Pacini D, Capo A, et al. Does EuroSCORE II perform better than its original versions? A multicentre validation study. Eur Heart J, 2013, 34(1): 22-29.
17.	Biancari F, Vasques F, Mikkola R, et al. Validation of EuroSCORE II in patients undergoing coronary artery bypass surgery. Ann Thorac Surg, 2012, 93(6): 1930-1935.
18.	Biancari F, Kangasniemi OP, Luukkonen J,et al. EuroSCORE predicts immediate and late outcome after coronary artery bypass surgery. Ann Thorac Surg, 2006, 82(1): 57-61.
19.	De Maria R, Mazzoni M, Parolini M, et al. Predictive value of EuroSCORE on long term outcome in cardiac surgery patients: a single institution study. Heart, 2005, 91(6): 779-784.
20.	Nilsson J, Algotsson L, Höglund P, et al. EuroSCORE predicts intensive care unit stay and costs of open heart surgery. Arm Thorac Surg, 2004, 78(5): 1528-1534.
21.	Duthie FA, McGeehan P, Hill S, et al. The utility of the additive EuroSCORE, RIFLE and AKIN staging scores in the prediction and diagnosis of acute kidney injury after cardiac surgery. Nephron Clin Pract, 2014, 128(1-2): 29-38.
22.	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.
23.	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.
24.	Yap CH, Mohajeri M, Ihle BU, et al. Validation of Euroscore model in an Australian patient population. ANZ J Surg, 2005,75(7): 508-512.
25.	张春晓, 许建屏, 葛益鹏, 等. 不同心脏手术风险预测评分系统对中国冠状动脉旁路移植术后患者早期死亡的预测. 中国胸心外科临床杂志, 2011, 18(3): 194-198.
26.	王崇, 张冠鑫, 韩林, 等. EuroSCORE模型对心瓣膜手术患者死亡风险的预测. 中国胸心血管外科临床杂志, 2011,18(3): 11-15.
27.	Wang L, Han QQ, Qiao F, et al. undergone heart valve surgery: a multicentre study in a Chinese population. Eur J Cardiothorac Surg, 2014, 45(2): 359-364.
28.	Plinio P, Salvatore C, Marco B. Evolution of case-mix in heart surgery, from mortality risk to complication risk. Eur J Cardiothorac Surg, 2002, 22: 927-933.
29.	National Adult Cardiac Surgical Database Report 1999-2000. InrKeogh BE, Kinsman R, editors. The Society of Cardiothoracic Surgeons of Great Britain and Ireland, 2001. 17-22.
30.	Abramov D, Tamariz MG, Fremes SE, et al. Trends in coronary artery bypass surgery results: a recent, 9-year study. Ann Thorac Surg, 2000, 70(1): 84-90.
31.	Paparella D, Guida P, Di Eusanio G, et al. Risk stratification for in-hospital mortality after cardiac surgery: external validation of EuroSCORE II in a prospective regional registry. Eur J Cardiothorac Surg, 2014, 46(5): 840-848.
32.	Di Dedda U, Pelissero G, Agnelli B, et al. Accuracy, calibration and clinical performance of the new EuroSCORE II risk stratification system. Eur J Cardiothorac Surg, 2013, 43(1): 27-32.
33.	Patrat-Delon S, Rouxel A, Gacouin A, et al. EuroSCORE II underestimates mortality after cardiac surgery for infective endocarditis. Eur J Cardiothorac Surg, 2016, 49(3): 944-951.

1. Geissler HJ, Hölzl P, Marohl S, et al. Risk stratification in heart surgery: comparison of six score systems. Eur J Cardiothorac Surg, 2000, 17(4): 400-406.
2. 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): 13-12.
3. 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.
4. Nashef SA, Roques F, Michel P, et al. European system for cardiac operative risk evaluation(EuroSCORE). Eur J Cardiothorac Surg, 1999, 16(1): 9-13.
5. Tu JV, Jaglal SB, Naylor CD. Multicenter validation of a risk index for mortality, intensive care unit stay, and overall hospital length of stay after cardiac surgery. Circulation, 1995, 91(3): 677-684.
6. Higgins TL, Estafanous FG, Loop FD, et al. Stratification of morbidity and mortality outcome by preoperative risk factors in coronary artery bypass patients. A clinical severity score. JAMA, 1992, 267 (17): 2344-2348.
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. Clark RE. It is time for a National cardiothoracic surgical data base. Ann Thorac Surg, 1989, 48(6): 755-756.
9. Losay J, Petit J, Lambert V, et al. Percutaneous closure with Amplatzer device is a safe and efficient alternative to surgery in adultswith large atrial septal defects. Am Heart J, 2001, 142(3): 544-548.
10. Yap CH, Reid C, Yii M, et al. Validation of the EuroSCORE model in Australia. Eur J Cardiothorac Surg, 2006, 29(4): 441-446.
11. Gogbashian A, Sedrakyan A, Treasure T. EuroSCORE: a systematic review of international performance. Eur J Cardiothorac Surg, 2004, 25(5): 695-700.
12. Roques F, Michel P, Nashef SA, et al. The logistic EuroSCORE. Eur Heart J, 2003, 24(9): 881-882.
13. Graham I, Atar D, Borch-Johnsen K, et al. European guidelines on cardiovascular disease prevention in clinical practice: executive sum-mary: Fourth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (Constituted by representatives of nine societies and by invited experts). Eur Heart J, 2007, 28(19): 2375-2414.
14. Nashef SA, Roques F, Sharples LD, et al. EuroSCORE II. Eur J Cardiothorac Surg, 2012, 41(4): 734-745.
15. 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.
16. Barili F, Pacini D, Capo A, et al. Does EuroSCORE II perform better than its original versions? A multicentre validation study. Eur Heart J, 2013, 34(1): 22-29.
17. Biancari F, Vasques F, Mikkola R, et al. Validation of EuroSCORE II in patients undergoing coronary artery bypass surgery. Ann Thorac Surg, 2012, 93(6): 1930-1935.
18. Biancari F, Kangasniemi OP, Luukkonen J,et al. EuroSCORE predicts immediate and late outcome after coronary artery bypass surgery. Ann Thorac Surg, 2006, 82(1): 57-61.
19. De Maria R, Mazzoni M, Parolini M, et al. Predictive value of EuroSCORE on long term outcome in cardiac surgery patients: a single institution study. Heart, 2005, 91(6): 779-784.
20. Nilsson J, Algotsson L, Höglund P, et al. EuroSCORE predicts intensive care unit stay and costs of open heart surgery. Arm Thorac Surg, 2004, 78(5): 1528-1534.
21. Duthie FA, McGeehan P, Hill S, et al. The utility of the additive EuroSCORE, RIFLE and AKIN staging scores in the prediction and diagnosis of acute kidney injury after cardiac surgery. Nephron Clin Pract, 2014, 128(1-2): 29-38.
22. 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.
23. 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.
24. Yap CH, Mohajeri M, Ihle BU, et al. Validation of Euroscore model in an Australian patient population. ANZ J Surg, 2005,75(7): 508-512.
25. 张春晓, 许建屏, 葛益鹏, 等. 不同心脏手术风险预测评分系统对中国冠状动脉旁路移植术后患者早期死亡的预测. 中国胸心外科临床杂志, 2011, 18(3): 194-198.
26. 王崇, 张冠鑫, 韩林, 等. EuroSCORE模型对心瓣膜手术患者死亡风险的预测. 中国胸心血管外科临床杂志, 2011,18(3): 11-15.
27. Wang L, Han QQ, Qiao F, et al. undergone heart valve surgery: a multicentre study in a Chinese population. Eur J Cardiothorac Surg, 2014, 45(2): 359-364.
28. Plinio P, Salvatore C, Marco B. Evolution of case-mix in heart surgery, from mortality risk to complication risk. Eur J Cardiothorac Surg, 2002, 22: 927-933.
29. National Adult Cardiac Surgical Database Report 1999-2000. InrKeogh BE, Kinsman R, editors. The Society of Cardiothoracic Surgeons of Great Britain and Ireland, 2001. 17-22.
30. Abramov D, Tamariz MG, Fremes SE, et al. Trends in coronary artery bypass surgery results: a recent, 9-year study. Ann Thorac Surg, 2000, 70(1): 84-90.
31. Paparella D, Guida P, Di Eusanio G, et al. Risk stratification for in-hospital mortality after cardiac surgery: external validation of EuroSCORE II in a prospective regional registry. Eur J Cardiothorac Surg, 2014, 46(5): 840-848.
32. Di Dedda U, Pelissero G, Agnelli B, et al. Accuracy, calibration and clinical performance of the new EuroSCORE II risk stratification system. Eur J Cardiothorac Surg, 2013, 43(1): 27-32.
33. Patrat-Delon S, Rouxel A, Gacouin A, et al. EuroSCORE II underestimates mortality after cardiac surgery for infective endocarditis. Eur J Cardiothorac Surg, 2016, 49(3): 944-951.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Review and Prospect of Clinical Application of EuroSCORE

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