Age, Creatinine and Ejection Fraction Score in Brazil: Comparison with InsCor and the EuroSCORE.

Abstract:

BACKGROUND:Risk scores for cardiac surgery cannot continue to be neglected. OBJECTIVE:To assess the performance of "Age, Creatinine and Ejection Fraction Score" (ACEF Score) to predict mortality in patients submitted to elective coronary artery bypass graft and/or heart valve surgery, and to compare it to other scores. METHODS:A prospective cohort study was carried out with the database of a Brazilian tertiary care center. A total of 2,565 patients submitted to elective surgeries between May 2007 and July 2009 were assessed. For a more detailed analysis, the ACEF Score performance was compared to the InsCor's and EuroSCORE's performance through correlation, calibration and discrimination tests. RESULTS:Patients were stratified into mild, moderate and severe for all models. Calibration was inadequate for ACEF Score (p = 0.046) and adequate for InsCor (p = 0.460) and EuroSCORE (p = 0.750). As for discrimination, the area under the ROC curve was questionable for the ACEF Score (0.625) and adequate for InsCor (0.744) and EuroSCORE (0.763). CONCLUSION:Although simple to use and practical, the ACEF Score, unlike InsCor and EuroSCORE, was not accurate for predicting mortality in patients submitted to elective coronary artery bypass graft and/or heart valve surgery in a Brazilian tertiary care center.

journal_name

Arq Bras Cardiol

authors

Mejía OA,Matrangolo BL,Titinger DP,Faria LB,Dallan LR,Galas FR,Lisboa LA,Dallan LA,Jatene FB

doi

10.5935/abc.20150101

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

450-6

issue

5

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2015005050101

journal_volume

105

pub_type

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