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.
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. - In: JOURNAL OF CARDIAC SURGERY. - ISSN 0886-0440. - 37:7(2022), pp. 1959-1966. [10.1111/jocs.16483]
Observed versus predicted mortality after isolated tricuspid valve surgery
Greco, Ernesto;Miraldi, Fabio;
2022
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.| File | Dimensione | Formato | |
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