Risk factors and outcome in European cardiac surgery : analysis of the EuroSCORE multinational database of 19030 patients. Discussion.
Annual Meeting of the European Association for Cardio-thoracic Surgery. Brussels, BEL, 1998/09/20.
To assess risk factors for mortality in cardiac surgical adult patients as part of a study to develop a European System for Cardiac Operative Risk Evaluation (EuroSCORE).
From September to November 1995, information on risk factors and mortality was collected for 19030 consecutive adult patients undergoing cardiac surgery under cardiopulmonary bypass in 128 surgical centres in eight European states.
Data were collected for 68 preoperative and 29 operative risk factors proven or believed to influence hospital mortality.
The relationship between risk factors and outcome was assessed by univariate and logistic regression analysis.
Mean age (± standard deviation) was 62.5 ± 10.7 (range 17-94 years) and 28% were female.
Mean body mass index was 26.3 ± 3.9. The incidence of common risk factors was as follows : hypertension 43.6%, diabetes 16.7%, extracardiac arteriopathy 2.9%, chronic renal failure 3.5%, chronic pulmonary disease 3.9%, previous cardiac surgery 7.3% and impaired left ventricular function 31.4%. Isolated coronary surgery accounted for 63.6% of all procedures, and 29.8% of patients had valve operations.
Overall hospital mortality was 4.8%. Coronary surgery mortality was 3.4% In the absence of any identifiable risk factors, mortality was 0.4% for coronary surgery, 1% for mitral valve surgery, 1.1% for aortic valve surgery and 0% for atrial septal defect repair. (...)
Mots-clés Pascal : Chirurgie, Coeur, Epidémiologie, Europe, Facteur risque, Homme, Pronostic, Morbidité, Mortalité
Mots-clés Pascal anglais : Surgery, Heart, Epidemiology, Europe, Risk factor, Human, Prognosis, Morbidity, Mortality
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0379378
Code Inist : 002B25E. Création : 22/03/2000.