Euroscore system validation for cardiac surgery in Cordoba city
Background:. We recommend the use of models to estimate mortality hospital risk in cardiac surgery (CC). The aim of this study was to validate a risk stratification system, widely used as the EuroSCORE (ES), in our institution.Material and methods: We retrospectively analyzed the records of patients...
| Autores principales: | , , , , , , , , |
|---|---|
| Formato: | Artículo revista |
| Lenguaje: | Español |
| Publicado: |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2010
|
| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/22630 |
| Aporte de: |
| id |
I10-R327-article-22630 |
|---|---|
| record_format |
ojs |
| spelling |
I10-R327-article-226302024-08-27T18:24:08Z Euroscore system validation for cardiac surgery in Cordoba city Validación del sistema euroscore para cirugía cardíaca en la ciudad de Córdoba Contreras, Alejandro E. Guadagnoli, Adolfo Ferrero Brenna, Eduardo J. Pogonza, Pablo Coppa, Luis A. Paladini, Guillermo Salomone, Oscar A. Chiotti, Ivan G. Estrada, Carlos D. cardiac surgery euroscore mortality cirugía cardiaca euroscore mortalidad Background:. We recommend the use of models to estimate mortality hospital risk in cardiac surgery (CC). The aim of this study was to validate a risk stratification system, widely used as the EuroSCORE (ES), in our institution.Material and methods: We retrospectively analyzed the records of patients undergoing CC consecutively between January 2006 and November 2008. The ES was calculated retrospectively based on data from medical records. Mortality was considered until the time of discharge. In all patients, the ES was calculated by logistic and additive. To study the validity of the model, we analyzed their ability to calibration and discrimination through the goodness of fit test of Hosmer and Lemeshow and area underResults: 153 patients were included, mean age 64.1 ± 9.5 years, 77.8% men. The CRM was 60.8%, 24.8% and 14.4% valvular surgery combined (bypass + valve). Overall mortality was 3.9%. The area under the curve of the logistic model was 0.87 and the Hosmer Lemeshow test was 0.84. The area under the curve of the additive model was 0.86 and the Hosmer Lemeshow test was p = 0.89. A score greater than 7 points is additive had a sensitivity of 66% and 91,5% specificity for predicting hospital mortality.Conclusion: The ES is a useful model and can be used to estimate the risk of hospital mortality in CC in the city of Cordoba. Antecedentes: Es recomendable el uso de modelos de estimación de riesgo de mortalidad hospitalaria en cirugía cardiaca (CC). El objetivo del presente trabajo fue validar un sistema de estratificación de riesgo, ampliamente usado como el EuroSCORE (ES), en nuestra institución.Material y métodos: Se analizaron retrospectivamente los registros de pacientes sometidos a CC consecutivamente entre enero 2006 y noviembre 2008. El ES fue calculado retrospectivamente en base a los datos de las respectivas historias clínicas. Se consideró la mortalidad hasta el momento del alta. En todos los pacientes se calculo el ES logístico y aditivo. Para estudiar la validez del modelo, se analizó su capacidad de calibración y discriminación mediante la prueba de bondad de ajuste de Hosmer Lemeshow y área bajo la curva ROC respectivamente.Resultados: 153 pacientes fueron incluidos, edad promedio 64,1 ± 9,5 años, 77,8% hombres. El 60,8% fueron CRM, 24,8% valvulares y 14,4% cirugías combinadas (revascularización + válvula). La mortalidad global fue 3,9%. El área bajo la curva del modelo logístico fue 0,87 y el test de Hosmer Lemeshow fue 0,84. El área bajo la curva del modelo aditivo fue 0,86 y el test de Hosmer Lemeshow fue p= 0,89. Un puntaje mayor a 7 puntos de ES aditivo tuvo una sensibilidad de 66% y especificidad de 91,5% para predecir mortalidad hospitalaria.Conclusión: El ES es un modelo útil y puede ser utilizado para estimar el riesgo de mortalidad hospitalaria en CC en la ciudad de Córdoba. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2010-09-10 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/22630 10.31053/1853.0605.v67.n3.22630 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 67 No. 3 (2010); 104-107 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 67 Núm. 3 (2010); 104-107 Revista da Faculdade de Ciências Médicas de Córdoba; v. 67 n. 3 (2010); 104-107 1853-0605 0014-6722 10.31053/1853.0605.v67.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/22630/22247 Derechos de autor 2010 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
cardiac surgery euroscore mortality cirugía cardiaca euroscore mortalidad |
| spellingShingle |
cardiac surgery euroscore mortality cirugía cardiaca euroscore mortalidad Contreras, Alejandro E. Guadagnoli, Adolfo Ferrero Brenna, Eduardo J. Pogonza, Pablo Coppa, Luis A. Paladini, Guillermo Salomone, Oscar A. Chiotti, Ivan G. Estrada, Carlos D. Euroscore system validation for cardiac surgery in Cordoba city |
| topic_facet |
cardiac surgery euroscore mortality cirugía cardiaca euroscore mortalidad |
| author |
Contreras, Alejandro E. Guadagnoli, Adolfo Ferrero Brenna, Eduardo J. Pogonza, Pablo Coppa, Luis A. Paladini, Guillermo Salomone, Oscar A. Chiotti, Ivan G. Estrada, Carlos D. |
| author_facet |
Contreras, Alejandro E. Guadagnoli, Adolfo Ferrero Brenna, Eduardo J. Pogonza, Pablo Coppa, Luis A. Paladini, Guillermo Salomone, Oscar A. Chiotti, Ivan G. Estrada, Carlos D. |
| author_sort |
Contreras, Alejandro E. |
| title |
Euroscore system validation for cardiac surgery in Cordoba city |
| title_short |
Euroscore system validation for cardiac surgery in Cordoba city |
| title_full |
Euroscore system validation for cardiac surgery in Cordoba city |
| title_fullStr |
Euroscore system validation for cardiac surgery in Cordoba city |
| title_full_unstemmed |
Euroscore system validation for cardiac surgery in Cordoba city |
| title_sort |
euroscore system validation for cardiac surgery in cordoba city |
| description |
Background:. We recommend the use of models to estimate mortality hospital risk in cardiac surgery (CC). The aim of this study was to validate a risk stratification system, widely used as the EuroSCORE (ES), in our institution.Material and methods: We retrospectively analyzed the records of patients undergoing CC consecutively between January 2006 and November 2008. The ES was calculated retrospectively based on data from medical records. Mortality was considered until the time of discharge. In all patients, the ES was calculated by logistic and additive. To study the validity of the model, we analyzed their ability to calibration and discrimination through the goodness of fit test of Hosmer and Lemeshow and area underResults: 153 patients were included, mean age 64.1 ± 9.5 years, 77.8% men. The CRM was 60.8%, 24.8% and 14.4% valvular surgery combined (bypass + valve). Overall mortality was 3.9%. The area under the curve of the logistic model was 0.87 and the Hosmer Lemeshow test was 0.84. The area under the curve of the additive model was 0.86 and the Hosmer Lemeshow test was p = 0.89. A score greater than 7 points is additive had a sensitivity of 66% and 91,5% specificity for predicting hospital mortality.Conclusion: The ES is a useful model and can be used to estimate the risk of hospital mortality in CC in the city of Cordoba. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2010 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/22630 |
| work_keys_str_mv |
AT contrerasalejandroe euroscoresystemvalidationforcardiacsurgeryincordobacity AT guadagnoliadolfoferrero euroscoresystemvalidationforcardiacsurgeryincordobacity AT brennaeduardoj euroscoresystemvalidationforcardiacsurgeryincordobacity AT pogonzapablo euroscoresystemvalidationforcardiacsurgeryincordobacity AT coppaluisa euroscoresystemvalidationforcardiacsurgeryincordobacity AT paladiniguillermo euroscoresystemvalidationforcardiacsurgeryincordobacity AT salomoneoscara euroscoresystemvalidationforcardiacsurgeryincordobacity AT chiottiivang euroscoresystemvalidationforcardiacsurgeryincordobacity AT estradacarlosd euroscoresystemvalidationforcardiacsurgeryincordobacity AT contrerasalejandroe validaciondelsistemaeuroscoreparacirugiacardiacaenlaciudaddecordoba AT guadagnoliadolfoferrero validaciondelsistemaeuroscoreparacirugiacardiacaenlaciudaddecordoba AT brennaeduardoj validaciondelsistemaeuroscoreparacirugiacardiacaenlaciudaddecordoba AT pogonzapablo validaciondelsistemaeuroscoreparacirugiacardiacaenlaciudaddecordoba AT coppaluisa validaciondelsistemaeuroscoreparacirugiacardiacaenlaciudaddecordoba AT paladiniguillermo validaciondelsistemaeuroscoreparacirugiacardiacaenlaciudaddecordoba AT salomoneoscara validaciondelsistemaeuroscoreparacirugiacardiacaenlaciudaddecordoba AT chiottiivang validaciondelsistemaeuroscoreparacirugiacardiacaenlaciudaddecordoba AT estradacarlosd validaciondelsistemaeuroscoreparacirugiacardiacaenlaciudaddecordoba |
| first_indexed |
2024-09-03T21:00:25Z |
| last_indexed |
2024-09-03T21:00:25Z |
| _version_ |
1809210120708554752 |