Age, Creatinine and Ejection Fraction Score in Brazil: Comparison with InsCor and the EuroSCORE
AbstractBackground: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. (Arq Bras Cardiol. 2015; [online].ahead print, PP.0-0)
Main Authors: | , , , , , , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Sociedade Brasileira de Cardiologia - SBC
2015
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2015002400450 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0066-782X2015002400450 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0066-782X20150024004502015-11-13Age, Creatinine and Ejection Fraction Score in Brazil: Comparison with InsCor and the EuroSCOREMejía,Omar Asdrúbal VilcaMatrangolo,Bruna La ReginaTitinger,David ProvenzaleFaria,Leandro Batisti deDallan,Luís Roberto PalmaGalas,Filomena Regina BarbosaLisboa,Luiz Augusto FerreiraDallan,Luís Alberto OliveiraJatene,Fabio Biscegli Cardiac Surgical Procedures / mortality Myocardial Revascularization Probability Heart Valve Diseases / surgery Cohort Studies AbstractBackground: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. (Arq Bras Cardiol. 2015; [online].ahead print, PP.0-0)info:eu-repo/semantics/openAccessSociedade Brasileira de Cardiologia - SBCArquivos Brasileiros de Cardiologia v.105 n.5 20152015-11-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2015002400450en10.5935/abc.20150101 |
institution |
SCIELO |
collection |
OJS |
country |
Brasil |
countrycode |
BR |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-br |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
Mejía,Omar Asdrúbal Vilca Matrangolo,Bruna La Regina Titinger,David Provenzale Faria,Leandro Batisti de Dallan,Luís Roberto Palma Galas,Filomena Regina Barbosa Lisboa,Luiz Augusto Ferreira Dallan,Luís Alberto Oliveira Jatene,Fabio Biscegli |
spellingShingle |
Mejía,Omar Asdrúbal Vilca Matrangolo,Bruna La Regina Titinger,David Provenzale Faria,Leandro Batisti de Dallan,Luís Roberto Palma Galas,Filomena Regina Barbosa Lisboa,Luiz Augusto Ferreira Dallan,Luís Alberto Oliveira Jatene,Fabio Biscegli Age, Creatinine and Ejection Fraction Score in Brazil: Comparison with InsCor and the EuroSCORE |
author_facet |
Mejía,Omar Asdrúbal Vilca Matrangolo,Bruna La Regina Titinger,David Provenzale Faria,Leandro Batisti de Dallan,Luís Roberto Palma Galas,Filomena Regina Barbosa Lisboa,Luiz Augusto Ferreira Dallan,Luís Alberto Oliveira Jatene,Fabio Biscegli |
author_sort |
Mejía,Omar Asdrúbal Vilca |
title |
Age, Creatinine and Ejection Fraction Score in Brazil: Comparison with InsCor and the EuroSCORE |
title_short |
Age, Creatinine and Ejection Fraction Score in Brazil: Comparison with InsCor and the EuroSCORE |
title_full |
Age, Creatinine and Ejection Fraction Score in Brazil: Comparison with InsCor and the EuroSCORE |
title_fullStr |
Age, Creatinine and Ejection Fraction Score in Brazil: Comparison with InsCor and the EuroSCORE |
title_full_unstemmed |
Age, Creatinine and Ejection Fraction Score in Brazil: Comparison with InsCor and the EuroSCORE |
title_sort |
age, creatinine and ejection fraction score in brazil: comparison with inscor and the euroscore |
description |
AbstractBackground: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. (Arq Bras Cardiol. 2015; [online].ahead print, PP.0-0) |
publisher |
Sociedade Brasileira de Cardiologia - SBC |
publishDate |
2015 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2015002400450 |
work_keys_str_mv |
AT mejiaomarasdrubalvilca agecreatinineandejectionfractionscoreinbrazilcomparisonwithinscorandtheeuroscore AT matrangolobrunalaregina agecreatinineandejectionfractionscoreinbrazilcomparisonwithinscorandtheeuroscore AT titingerdavidprovenzale agecreatinineandejectionfractionscoreinbrazilcomparisonwithinscorandtheeuroscore AT farialeandrobatistide agecreatinineandejectionfractionscoreinbrazilcomparisonwithinscorandtheeuroscore AT dallanluisrobertopalma agecreatinineandejectionfractionscoreinbrazilcomparisonwithinscorandtheeuroscore AT galasfilomenareginabarbosa agecreatinineandejectionfractionscoreinbrazilcomparisonwithinscorandtheeuroscore AT lisboaluizaugustoferreira agecreatinineandejectionfractionscoreinbrazilcomparisonwithinscorandtheeuroscore AT dallanluisalbertooliveira agecreatinineandejectionfractionscoreinbrazilcomparisonwithinscorandtheeuroscore AT jatenefabiobiscegli agecreatinineandejectionfractionscoreinbrazilcomparisonwithinscorandtheeuroscore |
_version_ |
1756381981832118272 |