Arquivos Brasileiros de Cardiologia (Nov 2015)

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

  • Omar Asdrúbal Vilca Mejía,
  • Bruna La Regina Matrangolo,
  • David Provenzale Titinger,
  • Leandro Batisti de Faria,
  • Luís Roberto Palma Dallan,
  • Filomena Regina Barbosa Galas,
  • Luiz Augusto Ferreira Lisboa,
  • Luís Alberto Oliveira Dallan,
  • Fabio Biscegli Jatene

DOI
https://doi.org/10.5935/abc.20150101
Journal volume & issue
Vol. 105, no. 5
pp. 450 – 456

Abstract

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AbstractBackground: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. (Arq Bras Cardiol. 2015; [online].ahead print, PP.0-0)

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