@article{3097570,
    title = "Does EuroSCORE predict length of stay and specific postoperative
complications after coronary artery bypass grafting?",
    author = "Toumpoulis, IK and Anagnostopoulos, CE and DeRose, JJ and Swistel, DG",
    journal = "International Journal of Cardiology",
    year = "2005",
    volume = "105",
    number = "1",
    pages = "19-25",
    publisher = "Elsevier Ireland Ltd",
    issn = "0167-5273",
    doi = "10.1016/j.ijcard.2004.10.067",
    keywords = "coronary artery bypass grafting; EuroSCORE; length of stay;
postoperative complications",
    abstract = "Background: To evaluate the performance of EuroSCORE in the prediction
of in-hospital postoperative length of stay and specific major
postoperative complications after coronary artery bypass grafting
(CABG).
Methods: Data on 3760 consecutive patients with CABG were prospectively
collected. The EuroSCORE model (standard and logistic) was used to
predict in-hospital mortality, prolonged length of stay (> 12 days) and
major postoperative complications (stroke, myocardial infarction,
sternal infection, bleeding, sepsis and/or endocarditis,
gastrointestinal complications, renal and respiratory failure). A C
statistic (receiver operating characteristic curve) was used to test the
discrimination of the EuroSCORE. The calibration of the model was
assessed by the Hosmer-Lemeshow goodness-of-fit statistic.
Results: In-hospital mortality was 2.7%, and 13.7% of patients had one
or more major complications. EuroSCORE showed very good discriminatory
ability in predicting renal failure (C statistic: 0.80) and good
discriminatory ability in predicting in-hospital mortality (C statistic:
0.75), sepsis and/or endocarditis (C statistic: 0.72) and prolonged
length of stay (C statistic: 0.71). There were no differences in terms
of the discriminatory ability between standard and logistic EuroSCORE.
Standard EuroSCORE showed good calibration (Hosmer-Lemeshow: P>0.05) in
predicting these outcomes except for postoperative length of stay, while
logistic EuroSCORE showed good calibration only in predicting renal
failure.
Conclusions: EuroSCORE can be used to predict not only in-hospital
mortality, for which it was originally designed, but also prolonged
length of stay and specific postoperative complications such as renal
failure and sepsis and/or endocarditis after CABG. These outcomes can be
predicted accurately using the standard EuroSCORE which is very simple
and easy in its calculation. (c) 2005 Elsevier Ireland Ltd. All rights
reserved."
}