Evaluatýon of Effectýveness of Euroscore 2 in Patýents Undergoýng Isolated Coronary Artery Bypass and Isolated Mýtral Valve Replacement Surgery
Hakan Kartal1, Huseyin Sicim1, Ertan Demirtas1, Ufuk Mungan2, Gokhan Erol1, Gokhan Arslan1, Isil Tasoz1, Tuna Demirkiran1, Celalettin Gunay1, Bilgehan Savas Oz11Department of Cardiovascular Surgery, University of Health Sciences, Gulhane Faculty of Medicine, Gulhane Training and Research Hospital, Ankara, Turkey, 2Department of Cardiovascular Surgery, Lokman Hekim Akay Hospital, Ankara, Turkey
Objectives: In our study, we aimed to evaluate the results of our patients who underwent isolated coronary artery bypass graft (CABG) and isolated mitral valve replacement (MVR) surgeries under cardiopulmonary bypass (CPB) with one of the most common of these scoring systems, Euroscore 2. Methods: All patients who underwent consecutive isolated CABG and isolated MVR operations under CPB between May 2012-March 2014 in Private Akay Hospital Cardiovascular Surgery Clinic were included in this study. In this study, intraoperative deaths and deaths within 30 days postoperatively were considered as mortality. The patients' demographic data, preoperative risk factors, preoperative medication, postoperative data, postoperative complications, laboratory findings and observed mortality and morbidity records were obtained retrospectively from patient files and hospital database. Results: As a result of ROC analysis; In patients in the CABG group, the agreement of Euroscore expected mortality rates with the actual mortality rates was found to be 81.3%, and this was statistically significant. Sensitivity was found to be 80%, and specificity was around 70%. In patients in the MVR group, the agreement of Euroscore expected mortality rates with the actual mortality rates was found to be 77.1%, and this was statistically significant. Sensitivity was found to be 75%, and specificity was around 62%. Conclusion: The result of our study showed that Euroscore 2, a preoperative risk assessment test, has an effective use in the determination of the mortality rate that may occur surgically in isolated coronary bypass and isolated mitral valve surgery, although it showed slight differences from the procedures applied. Keywords: Euroscore 2, isolated coronary artery bypass graft, isolated mitral valve replacement
Cite This Article
Kartal H, Sicim H, Demirtas E, Mungan U, Erol G, Arslan G, Tasoz I, Demirkiran T, Gunay C, Savas Oz B. Evaluatýon of Effectýveness of Euroscore 2 in Patýents Undergoýng Isolated Coronary Artery Bypass and Isolated Mýtral Valve Replacement Surgery. EJMI. 2020; 4(4): 442-447
Corresponding Author: Hakan Kartal