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2006, Number 1

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Med Crit 2006; 20 (1)

Evaluation of risk in cardiac surgery (EuroSCORE) in a private hospital of the Northeast of Mexico

Gartz TGR, Ramírez RA, Treviño FRJ, Siqueiros GA, Souto del BMA, Cruz MJA
Full text How to cite this article

Language: Spanish
References: 8
Page: 12-15
PDF size: 77.02 Kb.


Key words:

Risk, cardicac surgery, evaluation.

ABSTRACT

Cardiac surgery has greatly improved over the last decades. More severely ill patients are now undergoing surgery, spending the first post-perative days in the Intensive Care Unit. In order to standardize and excel in prognosis and level of care, a risk stratification tool is needed. We applied the EuroSCORE (European System for Cardiac Operative Risk Evaluation) to 197 consecutive coronary artery by-pass grafting patients (166 men and 31 women, mean age 60.5 ± 9.7 years) in a private hospital in northeastern Mexico. Mortality ratio by risk stratification group was 0/70, 2/78 and 8/49 for low, moderate and high risk patients respectively. Data did not differ from previously informed American and European series. We conclude that EuroSCORE could be useful in this population and that differences observed between this series and others in the medical literature were insignificant.


REFERENCES

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  2. Driscoll AC, Hobika JH, Etsten BE et al. Clinically unrecognized myocardial infarction following surgery. N Engl J Med 1961;264:633-9.

  3. Knapp RB, Topkins MJ, Artusio JF. The cerebrovascular accident and coronary occlusion in anesthesia. JAMA 1962;182:332-4.

  4. Skinner JF, Pearce ML. Surgical risk in the cardiac patient. J Chronic Dis 1964;17:57-72.

  5. Sapala JA, Ponka JL, Duvernoy WF. Operative and nonoperative risks in the cardiac patient. J Am Geriatr Soc 1975;23(12):529-34.

  6. Goldman L, Caldera DL, Nussbaum SR et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med 1977;297(16):845-50.

  7. Roques F, Nashef SA, Michel P et al. Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19,030 patients. Eur J Cardiothorac Surg 1999;15(6):816-22; discussion 822-3.

  8. Nashef SA, Roques F, Hammill BG et al. Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. Eur J Cardiothorac Surg 2002;22(1):101-5.




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C?MO CITAR (Vancouver)

Med Crit. 2006;20