Validation of the Chinese System for Cardiac Operative Risk Evaluation(SinoSCORE) in Chinese heart valve surgery: the experience from department of cardiothoracic surgery of Changhai Hospital
10.3760/cma.j.issn.1001-4497.2013.04.001
- VernacularTitle:SinoSCORE预测瓣膜手术在院死亡风险——第二军医大学长海医院胸心外科经验
- Author:
Chong WANG
;
Lin HAN
;
Fanglin LU
;
Liangjian ZOU
;
Zhiyun XU
- Publication Type:Journal Article
- Keywords:
Heart valves;
Cardiac surgerical procedues;
SinoSCORE;
Risk assessment;
Mortality
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2013;(4):193-195
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the Chinese System for Cardiac Operative Risk Evaluation (SinoSCORE) model in patients undergoing heart valve surgery at our center.Methods From January 2009 to December 2011,2098 consecutive adult patients who underwent heart valve surgery at our center were collected and scored according to the SinoSCORE model.All patients were divided into three risk subgroups.The entire cohort and each risk subgroup were analysed.Calibration of the SinoSCORE model was assessed by the Hosmer-Lemeshow(H-L) test.Discrimination was tested by calculating the area under the receiver operating characteristic (ROC) curve.Results Observed mortality of all 2098 patients was 3.00％.Despite there were significant differences between the SinoSCORE population and our own population sample,the SinoSCORE model showed good calibration(Hosmer-Lemeshow:P =0.783) and discriminative power (area under the ROC curve of 0.752)in predicting in-hospital mortality at the entire cohort.Conclusion The SinoSCORE model give an accurate prediction for individual operative risk in heart valve surgery patients at our center.
