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Risk Scores in Cardiac Surgery
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Score systems that predict mortality or risk of cardiac surgery
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Risk Scores in Cardiac Surgery
1.
Heart Surgery Risk
Score (s) RJCC
2.
Outlines • EuroScore • EuroScore-II •
SinoScore – CABG – Valve • STS Score: many variables – Mortality – Morbidity
3.
EuroScore European Journal of
Cardio-thoracic Surgery 17 (2000) 400-406
4.
EuroScore European Journal of
Cardio-thoracic Surgery 17 (2000) 400-406
5.
EuroScore European Heart Journal
(2006) 27, 867–874
6.
EuroScore
7.
EuroScore-II European Journal of
Cardio-Thoracic Surgery 41 (2012) 734–745
8.
EuroScore-II http://www.euroscore.org European Journal of
Cardio-Thoracic Surgery 41 (2012) 734–745
9.
http://www.cvs-china.com/
10.
SinoScore • 篇名:SinoSCORE预测瓣膜手术在院死亡风险——第二军医大学长海医院胸心外 科经验 • 作者:王崇;韩林;陆方林;邹良建;徐志云 •
期刊/會議論文集名稱 :中华胸心血管外科杂志 • 卷期:2013年 29卷 4期 • 中文摘要:目的 评价中国冠状动脉旁路移植手术死亡风险评分系统(SinoSCORE) 对成人瓣膜手术患者在院病死率预测的准确性.方法 回顾性收集2009年1月至 2011年12月2098例因瓣膜疾病行外科治疗成人患者(年龄≥16岁)的临床资料,按 SinoSCORE系统评分,分低、中、高3风险组,最后将全组及各风险组患者的实际 病死率与预测病死率进行对比.模型预测的符合程度应用H-L卡方检验,预测的鉴 别效度则通过ROC曲线下面积反映.结果 2098例患者在院死亡63例,实际在院病 死率3.00%.虽然SinoSCORE数据库患者术前各危险因素的分布与本组患者有着 明显差别,但SinoSCORE评分方法对本组患者术后在院死亡的预测仍具有较高的 准确性(H-L检验P=0.783);同时,该评分方法预测的鉴别效度也较高(ROC曲线下 面积0.752).其能够准确预测患者手术后是否发生在院死亡.结论SinoSCORE评分 方法虽为中国冠状动脉旁路移植手术死亡风险评分系统,但其对瓣膜手术患者的 在院死亡风险预测也具有较好的准确性.
11.
SinoScore • 篇名:SinoSCORE评估冠状动脉旁路移植术后患者死亡风险的价值 • 作者:于泉;王云;顾继伟;郭飞杰;姜博;张玉京 •
期刊/會議論文集名稱 :宁夏医科大学学报 • 卷期:2013年 35卷 4期 • 中文摘要:目的 研究SinoSCORE对冠状动脉旁路移植术患者术后死亡风险的预 测价值.方法 回顾性分析523例冠状动脉旁路移植手术患者的临床资料,用 SinoSCORE评分法则进行评分并预测其死亡人数,采用Homser-Lemeshow拟合优 度检验评价模型的预测能力.据患者术前状况按SinoSCORE评分,可分为低危(≤1 分)、中危(2~5分)、高危(≥6分)三组,运用受试者工作特征(ROC) 曲线下面积检 验模型的区分度.结果 523例病人中19例发生院内死亡,实际死亡率 3.63%,SinoSCORE模型预测的死亡率为1.74%,其中低危、中危组患者采用本模型 计算得到的预期死亡人数与实际死亡人数较吻合.介于本研究样本例数相对中 国心血管外科注册登记系统中统计的病例数(尤其高危病人)较少,患者年龄、手 术方式、人群构成比及围术期影响因素情况分布相对不均衡,因此研究结果中 预测高危组病人死亡率有一定的差异,SinoSCORE模型的Hosmer-Lemeshow拟合 优度检验P=0.438(χ2=4.368),ROC曲线下面积为0.79(95%置信区间0.714~0.831), 其校准度和区分度良好.结论 SinoSCORE评分系统具有良好的评估冠状动脉旁路 移植术患者死亡风险的价值,能够为冠状动脉旁路移植手术风险评估提供指导.
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SinoScore • 篇名:7种危险评分系统对CABG术后病死率预测效能的比较 • 作者:白云鹏;刘建实;陈庆良;郭志刚;姜楠;王联群;李培军 •
期刊/會議論文集名稱 :中华胸心血管外科杂志 • 卷期:2012年 3期 • 中文摘要:目的 评价7种危险评分系统对于单中心接受冠状动脉旁路移 植术(CABG)患者术后病死率的预测效能.方法 收集2010年1月至2011年1 月施行CABG患者围手术期资料.应用7种危险评分系统:SinoSCORE、 Additive EuroSCORE、Logistic EuroSCORE、OPR、Cleveland model、 Parsonnet score、QMMI预测每一位患者术后病死率和全部患者的平均预 计病死率.根据预计病死率将全部患者分为6组:Ⅰ组(0~1.99%),Ⅱ组(2.00 % ~ 3.99%),Ⅲ组(4.00%~5.99%),Ⅳ组(6.00%~7.99%),Ⅴ组(8.00%~ 9.99%),Ⅵ组(>10%).比较不同危险程度的实际病死率和预计病死率评价 评分系统的预测能力.运用Hosmer-Lemeshow拟合优度检验评价评分系统 的校准度,运用ROC曲线下面积(AUC)评价评分系统的分辨力.
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SinoScore • 结果 全组共1103例患者,平均年龄(62.8±8.8)岁.患者术后22例死亡,实际 病死率1.99%.SinoSCORE、Additive
EuroSCORE、Logistic EuroSCORE、 OPR、Cleveland model、Parsonnet score、QMMI预测平均全组病死率 分别为3.01%、4.38%、3.83%、1.69%、4.42%、6.71%、3.71%,其 中最接近实际病死率的是OPR、SinoSCORE、QMMI.分组比较显 示:Logistic EuroSCORE在各组中全部高估术后病死率.Additive EuroSCORE在Ⅵ组中预测病死率明显低于实际病死率,其他各组均高估 了术后病死率.而SinoSCORE、Cleveland model、Parsonnet score、 QMMI除了在Ⅰ组低估了患者术后病死率,其他各组高估了术后病死 率.OPR低估了Ⅰ组和Ⅳ组患者的病死率,高估了其他组患者的病死率. 利用Hosmer-Lemeshow拟合优度检验评价7种评分系统的校准度,结果 显示7种评分系统校准度尚可,P值全部>0.05.通过ROC检验比较7种评 分系统的分辨力,其中只有SinoSCORE的AUC =0.751( >0.70),证明 SinoSCORE对于本组患者的死亡分辨力良好.结论 通过比较,SinoSCORE 对于本中心接受CABG患者术后病死率预测效能好,可以运用于术前危 险性评估.
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SinoScore • http://www.cvs-china.com/sinoSCORE-valve.html
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SinoScore • http://www.cvs-china.com/sinoSCORE-CABG.html
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STS Score • http://riskcalc.sts.org
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STS Score • Mortality
and morbidity – Risk of Mortality – Morbidity or Mortality – Long Length of Stay – Short Length of Stay – Permanent Stroke – Prolonged Ventilation – DSW Infection – Renal Failure – Reoperation
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EuroScore-II
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SinoScore
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STS Score
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