Comparison of Logistic EuroSCORE and EuroSCOREⅡin patients undergoing mitral valve replacement surgery
Chen Lei
Gao Chang-qing
Xiao Cang-song
Jiang Sheng-li
Abstract：Objective To assess the value of Logistic EuroSCORE and EuroSCORE Ⅱ in predicating in-hospital mortality a?mong Chinese patients undergoing mitral valve replacement surgery in our center. Methods 497 patients who underwent mitral valve replacement with or without concomitant tricuspid valvuloplasty, left atrium reduction and left auricle closure from January 2009 to De?cember 2013 in our department were enrolled in our study. The mean age was 53.19±11.11 years at the time of surgery, and 62.6%were female. They were scored by logistic EuroSCORE and EuroSCOREⅡmodel, and compared with observed in-hospital mortality. Calibration was evaluated by Hosmer-Lemeshow( H-L) test, and discrimination was evaluated by the area under the receiver operating characteristic ( ROC) curve. Results There were 6 in-hospital deaths among the 497 patients and the in-hospital mortality rate was 1.21%, compared with the predicted mortality rate of 2. 99% by Logistic EuroSCORE and 1. 53% by EuroSCOREⅡ. Logistic Eu?roSCORE suggested a high prediction, and EuroSCOREⅡsuggested a similar mortality. The discrimination of Logistic EuroSCORE was poor ( P =0.673, AUC=0.621) . EuroSCOREⅡshowed good calibration and discrimination ( P =0.894, AUC=0.793) . Conclusion The EuroSCOREⅡ was suitable in predicting the mortality of mitral valve replacement surgery patients in our department.
Keywords：Mitral valve replacement surgeryIn-hospital mortalityLogistic EuroSCOREEuroSCOREⅡ
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 33-36 )