Li Y, Zheng Z, Hu S
Department of Cardiovascular Surgery, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, PR China.
Heart. 2009 Jul;95(14):1140-4. doi: 10.1136/hrt.2008.146563. Epub 2008 Jul 16.
The past decade in China has heralded a rapid increase in surgical coronary revascularisation, and coronary artery bypass grafting (CABG) has now been possible in an increasingly high-risk population in China. However, little is known about the current status of CABG surgery in contemporary China. The European System for Cardiac Operative Risk Evaluation (EuroSCORE) was introduced to China for risk adjustment in 2000 due to the absence of a local risk prediction model. Now, it is the most widely used risk prediction algorithm in China. Fuwai Hospital, Beijing, China has developed a national multicentre database of CABG patients, named the Chinese CABG Registry Study. We embarked on this study with a view to establishing risk stratification and outcome assessment following CABG in Chinese adults as well as to provide a potential clinical research tool for the future. The database will then serve to validate the widely used EuroSCORE model in Chinese patients and to develop a risk prediction model for Chinese patients undergoing CABG.
在过去十年间,中国的外科冠状动脉血运重建术迅速增加,如今在中国,冠状动脉旁路移植术(CABG)已能在风险越来越高的人群中开展。然而,目前对于当代中国CABG手术的现状了解甚少。由于缺乏本土风险预测模型,欧洲心脏手术风险评估系统(EuroSCORE)于2000年被引入中国用于风险调整。如今,它是中国使用最广泛的风险预测算法。中国北京阜外医院建立了一个全国多中心CABG患者数据库,名为中国CABG注册研究。我们开展这项研究旨在确立中国成年人CABG术后的风险分层和结局评估,同时为未来提供一个潜在的临床研究工具。该数据库随后将用于验证在中国患者中广泛使用的EuroSCORE模型,并为接受CABG的中国患者开发一个风险预测模型。