Comparison of logistic EuroSCORE, SYNTAX and EuroSCORE II for predicting 1-year mortality in patients underwent coronary bypass surgery
Abstract
Objectives: EuroSCORE II, logistic EuroSCORE and SYNTAX scores were compared in patients who underwent CABG in order to find the ideal scoring system for mortality.
Methods: This retrospective study attempted to examine the preoperative demographic characteristics, echocardiographic findings, operation notes and files, perfusion cards and observation notes of 228 patients who had undergone CABG surgery in our clinic.
Results: It was found that predictive point of SYNTAX score was greater than 27.5 (>27.5), the logistic regression (LR +) value was 1.5 in order to determine mortality rate. Predictive value of EuroSCORE II was higher than 1.82 (>1.82) and LR+ value was 2.20. It was found that EuroSCORE II was enough to predict one-year mortality rate although its positive predictive value was low. Predictive value of logistic EuroSCORE was higher than 5.71 (>5.71) and the LR+ value was 5.13 to assess the mortality rate. Logistic EuroSCORE was also sufficient to predict one-year mortality rate.
Conclusion: Logistic EuroSCORE was found to be the most effective scoring system in predicting one-year mortality in this study. We conclude that randomized clinical trials need to be performed in order to find an ideal cardiac risk scoring system.
Keywords
Kaynakça
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