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Observed versus predicted mortality after isolated tricuspid valve surgery.
Russo, Marco; Saitto, Guglielmo; Lio, Antonio; Di Mauro, Michele; Berretta, Paolo; Taramasso, Maurizio; Scrofani, Roberto; Della Corte, Alessandro; Sponga, Sandro; Greco, Ernesto; Saccocci, Matteo; Calafiore, Antonio; Bianchi, Giacomo; Biondi, Andrea; Binaco, Irene; Della Ratta, Ester; Livi, Ugolino; Werner, Paul; De Vincentiis, Carlo; Ranocchi, Federico; Di Eusanio, Marco; Kocher, Alfred; Antona, Carlo; Miraldi, Fabio; Troise, Giovanni; Solinas, Marco; Maisano, Francesco; Laufer, Guenther; Musumeci, Francesco; Andreas, Martin.
Afiliação
  • Russo M; Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.
  • Saitto G; Department of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, Rome, Italy.
  • Lio A; Department of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, Rome, Italy.
  • Di Mauro M; Department of Cardiac Surgery, IRCSS Policlinico San Donato, Milan, Italy.
  • Berretta P; Department of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, Rome, Italy.
  • Taramasso M; Cardio-Thoracic Surgery Unit, Heart and Vascular Centre, Maastricht University Medical Centre (MUMC), Cardiovascular Research Institute Maastricht (CARIM), Maastricht, The Netherlands.
  • Scrofani R; Cardiac Surgery Unit, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.
  • Della Corte A; Department of Cardiac Surgery, University Heart Center of Zurich, Zurich, Switzerland.
  • Sponga S; Cardiac Surgery Unit, Ospedale Fatenefratelli Sacco, Milano, Italy.
  • Greco E; Department of Translational Medical Sciences, Unit of Cardiac Surgery, V Monaldi Hospital, University of Campania "L. Vanvitelli", Campania, Italy.
  • Saccocci M; Cardiac Surgery Unit, University Hospital of Udine, Udine, Italy.
  • Calafiore A; Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological, and Geriatric Sciences, Sapienza University, Rome, Italy.
  • Bianchi G; Cardiac Surgery Unit, Poliambulanza Foundation Hospital, Brescia, Italy.
  • Biondi A; Prince Sultan Cardiac Center, Ryiadh, Saudi Arabia.
  • Binaco I; Pasquinucci Heart Hospital, G. Monasterio Foundation, Massa, Italy.
  • Della Ratta E; Department of Cardiac Surgery, IRCSS Policlinico San Donato, Milan, Italy.
  • Livi U; Cardiac Surgery Unit, Ospedale Fatenefratelli Sacco, Milano, Italy.
  • Werner P; Department of Translational Medical Sciences, Unit of Cardiac Surgery, V Monaldi Hospital, University of Campania "L. Vanvitelli", Campania, Italy.
  • De Vincentiis C; Cardiac Surgery Unit, University Hospital of Udine, Udine, Italy.
  • Ranocchi F; Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.
  • Di Eusanio M; Department of Cardiac Surgery, IRCSS Policlinico San Donato, Milan, Italy.
  • Kocher A; Department of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, Rome, Italy.
  • Antona C; Cardiac Surgery Unit, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.
  • Miraldi F; Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.
  • Troise G; Cardiac Surgery Unit, Ospedale Fatenefratelli Sacco, Milano, Italy.
  • Solinas M; Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological, and Geriatric Sciences, Sapienza University, Rome, Italy.
  • Maisano F; Cardiac Surgery Unit, Poliambulanza Foundation Hospital, Brescia, Italy.
  • Laufer G; Pasquinucci Heart Hospital, G. Monasterio Foundation, Massa, Italy.
  • Musumeci F; Department of Cardiac Surgery, University Heart Center of Zurich, Zurich, Switzerland.
  • Andreas M; Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.
J Card Surg ; 37(7): 1959-1966, 2022 Jul.
Article em En | MEDLINE | ID: mdl-35385588
ABSTRACT

BACKGROUND:

Aim of this study is to analyse the performances of Clinical Risk Score (CRS) and European System for Cardiac Operative Risk Evaluation (EuroSCORE)-II in isolated tricuspid surgery.

METHODS:

Three hundred and eighty-three patients (54 ± 16 year; 54% female) were enrolled. Receiver operating characteristic analysis was performed to evaluate the relationship between the true positive fraction of test results and the false-positive fraction for a procedure.

RESULTS:

Considering the 30-day mortality the area under the curve was 0.6 (95% confidence interval [CI] 0.50-0.72) for EuroSCORE II and 0.7 (95% CI 0.56-0.84) for CRS-score. The ratio of expected/observed mortality showed underestimation when considering EuroSCORE-II (min. 0.46-max. 0.6). At multivariate analysis, the CRS score (p = .005) was predictor of late cardiac death.

CONCLUSION:

We suggest using both scores to obtain a range of expected mortality. CRS to speculate on late survival.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Valva Tricúspide / Procedimentos Cirúrgicos Cardíacos Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male Idioma: En Ano de publicação: 2022 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Valva Tricúspide / Procedimentos Cirúrgicos Cardíacos Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male Idioma: En Ano de publicação: 2022 Tipo de documento: Article