Age, Creatinine and Ejection Fraction Score in Brazil: Comparison with InsCor and the EuroSCORE

作者:Vilca Mejia Omar Asdrubal; Matrangolo Bruna La Regina; Titinger David Provenzale; de Faria Leandro Batisti; Palma Dallan Luis Roberto; Barbosa Galas Filomena Regina; Ferreira Li**oa Luiz Augusto; Oliveira Dallan Luis Alberto; Jatene Fabio Biscegli
来源:Arquivos Brasileiros de Cardiologia, 2015, 105(5): 450-456.
DOI:10.5935/abc.20150101

摘要

Background: Risk scores for cardiac surgery cannot continue to be neglected. Objective: To assess the performance of "Age, Creatinine and Ejection Fraction Score" (ACEF Score) to predict mortality in patients submitted to elective coronary artery bypass graft and/or heart valve surgery, and to compare it to other scores. Methods: A prospective cohort study was carried out with the database of a Brazilian tertiary care center. A total of 2,565 patients submitted to elective surgeries between May 2007 and July 2009 were assessed. For a more detailed analysis, the ACEF Score performance was compared to the InsCor's and EuroSCORE's performance through correlation, calibration and discrimination tests. Results: Patients were stratified into mild, moderate and severe for all models. Calibration was inadequate for ACEF Score (p = 0.046) and adequate for InsCor (p = 0.460) and EuroSCORE (p = 0.750). As for discrimination, the area under the ROC curve was questionable for the ACEF Score (0.625) and adequate for InsCor (0.744) and EuroSCORE (0.763). Conclusion: Although simple to use and practical, the ACEF Score, unlike InsCor and EuroSCORE, was not accurate for predicting mortality in patients submitted to elective coronary artery bypass graft and/or heart valve surgery in a Brazilian tertiary care center.

  • 出版日期2015-11

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