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Titolo:
Risk factors for early mortality after valve surgery in Europe in the 1990s: Lessons from the EuroSCORE pilot program
Autore:
Roques, F; Nashef, SAM; Michel, P;
Indirizzi:
Hop Meynard, Fort De France, Martinique Hop Meynard Fort De France Martinique ynard, Fort De France, Martinique Papworth Hosp, Cambridge CB3 8RE, England Papworth Hosp Cambridge England CB3 8RE Hosp, Cambridge CB3 8RE, England Univ Bordeaux 2, INSERM, U330, F-33076 Bordeaux, France Univ Bordeaux 2 Bordeaux France F-33076 , U330, F-33076 Bordeaux, France
Titolo Testata:
JOURNAL OF HEART VALVE DISEASE
fascicolo: 5, volume: 10, anno: 2001,
pagine: 572 - 577
SICI:
0966-8519(200109)10:5<572:RFFEMA>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARDIAC-SURGERY; HEART-DISEASE; STRATIFICATION; MORBIDITY; DATABASE; SYSTEM; SCORE; STAY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Roques, F CHU Ft De France, Serv Chirurg Cardiovasc, Fort De France 97200,Martinique CHU Ft De France Fort De France Martinique 97200 0, Martinique
Citazione:
F. Roques et al., "Risk factors for early mortality after valve surgery in Europe in the 1990s: Lessons from the EuroSCORE pilot program", J HEART V D, 10(5), 2001, pp. 572-577

Abstract

Background and aim of the study: The characteristics of valve surgery are evolving. The study aim was to explore its demographics and risk factors inEurope in the 1990s, using the EuroSCORE database. Methods: For the EuroSCORE program, information on 98 variables regarding risk factors, procedures and outcome were collected for 5,672 patients undergoing valve surgery under cardiopulmonary bypass in 128 European centers. Bivariate (i.e. Mann-Whitney test or chi-square when appropriate), then logistic regression analyses were carried out to identify risk factors for early mortality. The predictive value of EuroSCORE was analyzed using the Hosmer-Lemershow test and by computing the area under the receiver operating characteristic (ROC) curve. Results: Aortic valve stenosis was the most common diagnosis (47.6%), whilst mitral valve surgery accounted for 42% of procedures. Coronary surgery was performed concomitantly in 21% of cases. Hospital mortality was 6.1%. Predictive factors for early mortality were: age (p = 0.0001), preoperative serum creatinine > 200 pmol/l (p = 0.014), previous heart surgery (p = 0.0001), poor left ventricular function (p = 0.008), chronic congestive heart failure (p = 0.0001), pulmonary hypertension (p = 0.0001), active acute endocarditis (p = 0.0001), emergency procedure (p = 0.05), critical preoperativestatus (p = 0.0001), tricuspid surgery (p = 0.015), aortic and mitral surgery (p = 0.002), combined thoracic surgery (p = 0.0001), and combined coronary surgery (p = 0.0001). The predictive value of EuroSCORE for mortality was good (area under the ROC curve = 0.75). Conclusion: The 'valve' subset of the EuroSCORE database provides an instant picture of European valve surgery in the 1990s that can be used either for individual assessment, or for country- or institution-based epidemiological studies of risk factors and practices.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/10/20 alle ore 13:30:50