Journal of Isfahan Medical School

Journal of Isfahan Medical School

Is EuroSCORE Model an Appropriate Scale to Estimate the Mortality before the Coronary Bypass Surgery in Iranian Patients?

Document Type : Original Article(s)

Authors
Seyed Mohsen Mir Mohammad Sadeghi 1
Ali Etesampour 2
Fatemeh Sadat Mir Mohammad Sadeghi 3
Mojgan Gharipour 4
Mahmoud Saeedi 1
Peyman Nilforoush 5
Zeynab Shariat 3
1 Assistant Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Assistant Professor, Department of Internal Medicine, School of Medicine, Najaf abad Branch, Islamic Azad University and Delasa 3 Research and Trapeutic Center, Isfahan, Iran
3 Intern, School of Medicine, Najaf abad Branch, Islamic Azad University, Isfahan, Iran
4 Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
5 Department of Angiography, Sina Hospital and Delasa Research and Trapeutic Center, Isfahan, Iran
Abstract
Background: Coronary Artery Bypass Surgery (CABG) is an effective and important treatment for patients with coronary artery disease. Nowadays, there is more interest in prediction of mortality and patient's outcome after cardiac surgery. Several models have been designed to detect related risk factors to patient's outcome. This study evaluated one of the most valid models, EuroSCORE in patients who have had CABG in Sina cardiac surgery center in Isfahan.Method: EuroSCORE's values were calculated for 1511 patients who had CABG. All of them were followed up after 30 days.Result: 30-days mortality was 3.6% in our patient. Age (P = 0.02), left ventricle dysfunction (P = 0.03) and neurological dysfunction (P = 0.03) were the most important risk factors in our patient. The area under the ROC curve was 0.66.Conclusion: EuroSCORE model in our patient can predict 66% of 30-days mortality after CABG correctly. Thus, making a local model with more power to predict post CABG mortality is necessary in our country.
Keywords
Coronary Artery Disease
Coronary Artery Bypass Surgery
Mortality
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Journal of Isfahan Medical School
Volume 28, Issue 117 - Serial Number 117
November and December 2011
Pages 1118-1125

  • Receive Date 06 February 2011
  • Accept Date 06 April 2022