Evaluation of the predictive value of EuroSCORE Ⅱ and SYNTAX Ⅱ scores for clinical outcomes in patients undergoing CABG
10.3760/cma.j.cn112434-20240306-00061
- VernacularTitle:EuroSCORE Ⅱ和SYNTAX Ⅱ评分对冠状动脉旁路移植手术患者临床结局的预测价值评估
- Author:
Xin XIONG
1
;
Nan LI
;
Yijun XU
;
Zhiqiang CHEN
;
Peng LIU
;
Wen WEN
;
Xiaowei LI
;
Xiaolong ZHANG
;
Durong CHEN
;
Yongzhi DENG
Author Information
1. 山西医科大学附属心血管病医院，山西省心血管病医院（研究所），山西省心血管病临床医学研究中心心脏大血管外科，太原 030024
- Keywords:
Coronary atherosclerotic heart disease;
Coronary artery bypass grafting;
EuroSCORE Ⅱ;
SYNTAX Ⅱ;
Independent risk factor
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2024;40(8):464-468
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore and analyze the predictive value of EuroSCORE Ⅱ and SYNTAX Ⅱ scores for clinical outcomes in patients undergoing coronary artery bypass grafting (CABG) surgery.Methods:A total of 500 coronary artery disease (CAD) patients who underwent CABG in Shanxi Cardiovascular Hospital from April 2014 to July 2023 were selected as the study subjects, all patients were given EuroSCORE Ⅱand SYNTAX Ⅱ scores to evaluate the predictive value of EuroSCOREⅡfor perioperative mortality and SYNTAX Ⅱ for 4-year mortality. Univariate and multivariate Logistic analysis were employed to analyze the independent risk factors for perioperative and 4-year mortality.Results:There were 3 deaths during the perioperative period, with a mortality rate of 0.60%, the predicted mortality rate of EuroSCOREⅡwas 1.71%; there were 21 deaths at 4 years after surgery, with a mortality rate of 4.23% and the predicted mortality rate of SYNTAX Ⅱwas 9.02%. Logistic regression analysis showed that left ventricular ejection fraction (LVEF) was the only independent protective factor for perioperative mortality, and advanced age was the only independent risk factor for 4-year postoperative mortality in patients ( P<0.05). The analysis of the working characteristic curve of the subjects found that the area under the receiver operating characteristic curve ( ROC) of EuroSCORE Ⅱ for perioperative mortality was 0.782, and the area under ROC curve of SYNTAX Ⅱfor postoperative 4-year mortality was 0.743. Conclusion:Both EuroSCORE Ⅱand SYNTAX Ⅱhave certain predictive value for perioperative mortality and postoperative 4-year mortality in patients undergoing CABG, respectively, but the predicted mortality rate is relatively higher.
