Gogbashian A, Sedrakyan A, Treasure T
The Royal College of Surgeons of England, 35-43 Lincoln's Inn Fields, London WC2A 3PN, UK.
Eur J Cardiothorac Surg. 2004 May;25(5):695-700. doi: 10.1016/j.ejcts.2004.02.022.
The validity of the cardiac surgical scoring system, EuroSCORE, has been assessed by several individual cardiac centres within and outside Europe. We chose to assess the overall international performance by systematic review of peer-reviewed literature. There were six studies meeting our criteria for assessment. Internationally, the evidence is highly suggestive that additive EuroSCORE performance generally over-estimates mortality at lower EuroSCOREs (EuroSCORE</=6) and under-estimates mortality at higher EuroSCOREs (EuroSCORE>13). The effect of this could have serious misrepresentations for surgeons and hospitals operating on differing case-mixes. We suggest that further studies need to be performed on the logistic EuroSCORE calculation to ascertain whether predictive ability is improved. Overall, however, EuroSCORE is the most rigorously evaluated scoring system in cardiac surgery.
欧洲心脏手术风险评估系统（EuroSCORE）的有效性已由欧洲内外的多个心脏中心进行了评估。我们选择通过对同行评审文献的系统回顾来评估其整体国际表现。有六项研究符合我们的评估标准。在国际上，有充分证据表明，在较低的欧洲心脏手术风险评估值（EuroSCORE≤6）时，累加式EuroSCORE的表现通常会高估死亡率；而在较高的欧洲心脏手术风险评估值（EuroSCORE>13）时，则会低估死亡率。这种影响可能会严重误导进行不同病例组合手术的外科医生和医院。我们建议对逻辑EuroSCORE计算方法进行进一步研究，以确定其预测能力是否有所提高。然而，总体而言，EuroSCORE是心脏手术中评估最为严格的评分系统。
