Validation of EuroSCORE II in atrial fibrillation heart surgery patients from the KROK Registry
Year: 2023
Type: article
Study design: Observational Study
Abstract: The study aimed to validate the European System for Cardiac Operative Risk Evaluation score (EuroSCORE II) in patients with atrial fibrillation (AF). All data were retrieved from the National Registry of Cardiac Surgery Procedures (KROK). EuroSCORE II calibration and discrimination performance was evaluated. The final cohort consisted of 44,172 patients (median age 67, 30.8% female, 13.4% with AF). The in-hospital mortality rate was 4.14% (N = 1830), and 5.21% (N = 2303) for 30-day mortality. EuroSCORE II significantly underestimated mortality in mild- and moderate-risk populations [Observed (O):Expected (E)-1.1, 1.16). In the AF subgroup, it performed well [O:E-0.99), whereas in the very high-risk population overestimated mortality (O:E-0.9). EuroSCORE II showed better discrimination in AF (-) [area under curve (AUC) 0.805, 95% CI 0.793-0.817)] than in AF (+) population (AUC 0.791, 95%CI 0.767-0.816), P < 0.001. The worst discriminative performance for the AF (+) group was for coronary artery bypass grafting (CABG) (AUC 0.746, 95% CI 0.676-0.817) as compared with AF (-) population (AUC 0.798, 95% CI 0.774-0.822), P < 0.001. EuroSCORE II is more accurate for patients with AF. However, it underestimated mortality rates for low-to-moderate-risk patients and had a lower ability to distinguish between high- and low-risk patients with AF, particularly in those undergoing coronary artery bypass grafting.
Source: Scientific Reports
Authors: Łukasz Kuźma, Mariusz Kowalewski, Wojciech Wańha, Emil Julian Dąbrowski, Marek Jasiński, Kazimierz Widenka, Marek Deja, Krzysztof Bartuś, Tomasz Hirnle, Wojciech Wojakowski, Roberto Lorusso, Zdzisław Tobota, Bohdan J. Maruszewski, Piotr Suwalski, KROK Investigators, Lech Anisimowicz, Andrzej Biederman, Dariusz Borkowski, Mirosław Brykczyński, Paweł Bugajski, Marian Burysz, Paweł Cholewiński, Romuald Cichoń, Marek Cisowski, Antoni Dziatkowiak, Tadeusz Gburek, Witold Gerber, Leszek Gryszko, Ireneusz Haponiuk, Piotr Hendzel, Stanisław Jabłonka, Krzysztof Jarmoszewicz, Ryszard Jaszewski, Marek Jemielity, Ryszard Kalawski, Bogusław Kapelak, Maciej A. Karolczak, Jacek Kaperczak, Piotr Knapik, Michał Krejca, Wojciech Kustrzycki, Mariusz Kuśmierczyk, Paweł Kwinecki, Leszek Markuszewski, Maurycy Missima, Jacek J. Moll, Wojciech Ogorzeja, Jacek Pająk, Michał Pasierski, Wojciech Pawliszak, Edward Pietrzyk, Grzegorz Religa, Jan Rogowski, Jacek Różański, Jerzy Sadowski, Girish Sharma, Janusz Skalski, Jacek Skiba MD, Ryszard Stanisławski, Janusz Stążka, Sebastian Stec, Piotr Stępiński, Grzegorz Suwalski, Kazimierz Suwalski, Łukasz Tułecki, Waldemar Wierzba, Michał Wojtalik, Stanisław Woś, Michał Oskar Zembala, Piotr Żelazny
Institutions: Medical University of Białystok, Maastricht University Medical Centre, Nicolaus Copernicus University, Collegium Medicum in Bydgoszcz, National Medical Institute of the Ministry of Interior and Administration, Medical University of Silesia, University of Wrocław, Wroclaw Medical University, University of Rzeszów, Jagiellonian University, John Paul II Hospital, Children's Memorial Health Institute, Medicover, Pomeranian Medical University, Medical University of Warsaw, American Heart of Poland, Wojskowy Instytut Medyczny, Medical University of Lublin, Szpital Specjalistyczny im. F. Ceynowy, Medical University of Lodz, Poznan University of Medical Sciences, University of Opole, Silesian Center for Heart Disease, Kazimierz Pułaski University of Technology and Humanities in Radom, Polish Mother’s Memorial Hospital Research Institute, Gdańsk Medical University, Institute of Cardiology, 4. Wojskowy Szpital Kliniczny z Polikliniką
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,390
OpenAlex ID: W4385740343