Department of Cardio-Thoracic Surgery, Heart and Lungs Division, University Medical Center Utrecht, Utrecht, The Netherlands.
Eur J Cardiothorac Surg. 2012 Apr;41(4):746-54. doi: 10.1093/ejcts/ezr285. Epub 2012 Jan 26.
The European system for cardiac operative risk evaluation (EuroSCORE) is a commonly used risk score for operative mortality following cardiac surgery. We aimed to conduct a systematic review of the performance of the additive and logistic EuroSCORE. A literature search resulted in 67 articles. Studies applying the EuroSCORE on patients undergoing cardiac surgery and which reported early mortality were included. Weighted meta-regression showed that the EuroSCORE overestimated mortality. However, this performance depended on the risk profile of patients: in high-risk patients, the additive model actually underestimated mortality. Discriminative performance was good. Given the poor predictive performance, the EuroSCORE may not be suitable as a tool for patient selection nor for benchmarking.
欧洲心脏手术风险评估系统（EuroSCORE）是一种常用于心脏手术后手术死亡率的风险评分。我们旨在对附加和逻辑 EuroSCORE 的性能进行系统评价。文献检索产生了 67 篇文章。纳入了应用于接受心脏手术并报告早期死亡率的患者的 EuroSCORE 研究。加权荟萃回归显示，EuroSCORE 高估了死亡率。然而，这种表现取决于患者的风险状况：在高危患者中，附加模型实际上低估了死亡率。区分性能良好。鉴于预测性能不佳，EuroSCORE 可能不适合作为患者选择的工具，也不适合作为基准。
