Aortokoroner bypass cerrahisi uygulanan olgularda EuroSCORE ve STS risk parametrelerinin karşılaştırılması
Yükleniyor...
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dicle Üniversitesi
Erişim Hakkı
Attribution-NonCommercial 3.0 United States
info:eu-repo/semantics/closedAccess
info:eu-repo/semantics/closedAccess
Özet
Amaç: Bu çalışmada izole koroner bypass olgularında
operatif mortaliteyi öngörmede EuroSCORE ve STS risk
belirleme sistemlerinin klinik uygulanabilirliğinin karşılaş-
tırılması amaçlandı.
Yöntemler: Nisan 2005-Mart 2009 tarihleri arasında opere
edilen 182 izole koroner bypass olgusunun tüm risk
faktörleri, EuroSCORE ve STS risk belirleme sistemlerine
göre prospektif olarak kaydedildi. Öngörülen ve gerçekleşen
mortalite oranları her risk skoru sistemi için karşı-
laştırıldı.
Bulgular: Operatif mortalite, 24 hasta ile %13,2 olarak
bulundu. EuroSCORE için beklenen mortalite %4,71±4,9
iken STS için bu oran %1,17±1,35 idi. Beklenen ve ger-
çekleşen mortalite oranları arasında fark bulunamadı.
EuroSCORE için ROC Curve altında kalan alan 0,712,
STS için 0,727 olarak hesaplandı.
Sonuç: Her iki sistemde mortaliteyi öngörme kuvveti açı-
sından, çalışmamızda yeterli olarak bulunmuştur. STS’nin
operatif mortalite yanında oluşabilecek morbidite hakkında
da bilgi vermesi ek bir avantaj olarak görülebilmesine
rağmen çalışmamızda yeterli bulunmamıştır. Sonuç olarak
ülkemiz popülasyonu için yeni risk skorlarına ihtiyaç
vardır.
Objective: To compare the feasibility of the EuroSCORE and The Society of Thoracic Surgeons risk scoring systems for predicting the surgical mortality of isolated coronary artery bypass surgery patients. Methods: The risk scoring of 148 patients who were operated on between April 2005 and March 2009 was performed prospectively according to the EuroSCORE and STS risk scoring systems. The predicted and observed mortality rates according to each scoring system were compared. Results: Hospital mortality was 13.2% (24 patients). The predicted mortality rate according to EuroSCORE was 4.71±4.9%, whereas it was 1.17±1.35% for STS. There were no significant differences between predicted and observed mortality rates according to either scoring system. The area under the ROC curve was 0.712 for EuroSCORE and was 0.727 for STS. Conclusion: Both scoring systems were efficient for predicting mortality rates for our study. It is an advantage of STS that it also gives valuable information about morbidity but for our not found satisfactory. In conclusion new risks scores for our country’s population are needed.
Objective: To compare the feasibility of the EuroSCORE and The Society of Thoracic Surgeons risk scoring systems for predicting the surgical mortality of isolated coronary artery bypass surgery patients. Methods: The risk scoring of 148 patients who were operated on between April 2005 and March 2009 was performed prospectively according to the EuroSCORE and STS risk scoring systems. The predicted and observed mortality rates according to each scoring system were compared. Results: Hospital mortality was 13.2% (24 patients). The predicted mortality rate according to EuroSCORE was 4.71±4.9%, whereas it was 1.17±1.35% for STS. There were no significant differences between predicted and observed mortality rates according to either scoring system. The area under the ROC curve was 0.712 for EuroSCORE and was 0.727 for STS. Conclusion: Both scoring systems were efficient for predicting mortality rates for our study. It is an advantage of STS that it also gives valuable information about morbidity but for our not found satisfactory. In conclusion new risks scores for our country’s population are needed.
Açıklama
Anahtar Kelimeler
Aortokoroner bypas, Aorta-coronary bypass, Cerrahi, Surgery, STS, EuroSCORE, Risk
Kaynak
Dicle Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
42
Sayı
1
Künye
Aydın M.S. et all. (2015) "Aortokoroner bypass cerrahisi uygulanan olgularda EuroSCORE ve STS risk parametrelerinin karşılaştırılması"
