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Validation of EuroSCORE II in atrial fibrillation heart surgery patients from the KROK Registry.
Kuzma, Lukasz; Kowalewski, Mariusz; Wanha, Wojciech; Dabrowski, Emil Julian; Jasinski, Marek; Widenka, Kazimierz; Deja, Marek; Bartus, Krzysztof; Hirnle, Tomasz; Wojakowski, Wojciech; Lorusso, Roberto; Tobota, Zdzislaw; Maruszewski, Bohdan J; Suwalski, Piotr.
Afiliación
  • Kuzma L; Department of Invasive Cardiology, Medical University of Bialystok, Bialystok, Poland.
  • Kowalewski M; Clinical Department of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration, Warsaw, Poland. kowalewskimariusz@gazeta.pl.
  • Wanha W; Thoracic Research Centre, Innovative Medical Forum, Collegium Medicum Nicolaus Copernicus University, Bydgoszcz, Poland. kowalewskimariusz@gazeta.pl.
  • Dabrowski EJ; Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre (MUMC), Cardiovascular Research Centre Maastricht (CARIM), Maastricht, The Netherlands. kowalewskimariusz@gazeta.pl.
  • Jasinski M; Thoracic Research Centre, Innovative Medical Forum, Collegium Medicum Nicolaus Copernicus University, Bydgoszcz, Poland.
  • Widenka K; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
  • Deja M; Department of Invasive Cardiology, Medical University of Bialystok, Bialystok, Poland.
  • Bartus K; Department and Clinic of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland.
  • Hirnle T; Clinical Department of Cardiac Surgery, District Hospital No. 2, University of Rzeszów, Rzeszów, Poland.
  • Wojakowski W; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
  • Lorusso R; Department of Cardiac Surgery, Upper-Silesian Heart Center, Katowice, Poland.
  • Tobota Z; Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, John Paul II Hospital, Krakow, Poland.
  • Maruszewski BJ; Department of Cardiosurgery, Medical University of Bialystok, Bialystok, Poland.
  • Suwalski P; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
Sci Rep ; 13(1): 13024, 2023 08 10.
Article en En | MEDLINE | ID: mdl-37563207
The study aimed to validate the European System for Cardiac Operative Risk Evaluation score (EuroSCORE II) in patients with atrial fibrillation (AF). All data were retrieved from the National Registry of Cardiac Surgery Procedures (KROK). EuroSCORE II calibration and discrimination performance was evaluated. The final cohort consisted of 44,172 patients (median age 67, 30.8% female, 13.4% with AF). The in-hospital mortality rate was 4.14% (N = 1830), and 5.21% (N = 2303) for 30-day mortality. EuroSCORE II significantly underestimated mortality in mild- and moderate-risk populations [Observed (O):Expected (E)-1.1, 1.16). In the AF subgroup, it performed well [O:E-0.99), whereas in the very high-risk population overestimated mortality (O:E-0.9). EuroSCORE II showed better discrimination in AF (-) [area under curve (AUC) 0.805, 95% CI 0.793-0.817)] than in AF (+) population (AUC 0.791, 95%CI 0.767-0.816), P < 0.001. The worst discriminative performance for the AF (+) group was for coronary artery bypass grafting (CABG) (AUC 0.746, 95% CI 0.676-0.817) as compared with AF (-) population (AUC 0.798, 95% CI 0.774-0.822), P < 0.001. EuroSCORE II is more accurate for patients with AF. However, it underestimated mortality rates for low-to-moderate-risk patients and had a lower ability to distinguish between high- and low-risk patients with AF, particularly in those undergoing coronary artery bypass grafting.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Sci Rep Año: 2023 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Sci Rep Año: 2023 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Reino Unido