重新思考手术前风险评估:EuroSCORE II在心脏手术后的长期死亡率预测有多好?-一个单一中心的回顾性分析
Andreas Koköfer1, Lukas Simon Fischer1, Bernhard Wernly2,3
1Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, 5020 Salzburg, Austria.
EuroSCORE II准确地预测心脏手术患者的长期死亡率,而不仅仅是短期结果. 这种评分系统显示了与生存的显著关联,对于患者的长期预后非常有用.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 医学统计 医学统计
背景情况:
- 欧洲Score II是预测心脏手术中短期死亡率的标准工具.
- 关于其长期预测能力的数据有限.
研究的目的:
- 评估EuroSCORE II与一年和长期死亡率之间的关联.
- 评估EuroSCORE II作为主要心脏手术中的长期预后指标的实用性.
主要方法:
- 对2179名接受心肺旁路心脏手术的患者进行了回顾性队列研究 (2017-2021年).
- 来自萨尔茨堡重症监护数据库和奥地利统计局的数据.
- 分析包括卡普兰-梅尔,考克斯回归和ROC分析.
主要成果:
- EuroSCORE II在患者的1年和长期死亡率显著更高.
- 幸存者的EuroSCORE II中位数为2.2,而一年的非幸存者为7.0.
- 欧洲Score II显示出对一年死亡率 (AUC 0.773) 的良好的区分能力.
结论:
- 欧洲Score II与重大心脏手术后的长期死亡率有显著的关联.
- 评分系统显示了对长期结果的良好的歧视性表现.
- 这些发现支持EuroSCORE II作为长期预测指标的实用性.
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