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本文引用的文献

1
Risk stratification in heart surgery: comparison of six score systems.心脏手术中的风险分层：六种评分系统的比较
Eur J Cardiothorac Surg. 2000 Apr;17(4):400-6. doi: 10.1016/s1010-7940(00)00385-7.
2
The STS National Database: current changes and challenges for the new millennium. Committee to Establish a National Database in Cardiothoracic Surgery, The Society of Thoracic Surgeons.胸外科医师协会建立心胸外科国家数据库委员会：《STS国家数据库：新千年的当前变化与挑战》
Ann Thorac Surg. 2000 Mar;69(3):680-91. doi: 10.1016/s0003-4975(99)01538-6.
3
European system for cardiac operative risk evaluation (EuroSCORE).欧洲心脏手术风险评估系统（EuroSCORE）。
Eur J Cardiothorac Surg. 1999 Jul;16(1):9-13. doi: 10.1016/s1010-7940(99)00134-7.
4
Effect of cardiac surgery patient characteristics on patient outcomes from 1981 through 1995.1981年至1995年心脏手术患者特征对患者预后的影响。
Circulation. 1997 Sep 2;96(5):1575-9. doi: 10.1161/01.cir.96.5.1575.

欧洲心脏手术风险评估系统（EuroSCORE）能否预测心脏手术后延长的住院时间和重症监护时间？

The EuroSCORE as predictor for prolonged hospital and intensive care stay after cardiac surgery?

作者信息

Noyez L, Janssen D P B, Wouters C W, Brouwer R M H J

出版信息

Neth Heart J. 2005 May;13(5):170-174.

PMID:25696483
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2497321/
Abstract

OBJECTIVE

Validation of the EuroSCORE as predictor for a prolonged hospital and intensive care stay after CABG vs. institution-specific scoring systems.

METHODS

For the evaluation of a prolonged hospital stay, 3359 patients were included in the analysis of EuroSCORE vs. the CORRAD morbidity score. For a prolonged intensive care stay, 1638 patients were included in the analysis of the EuroSCORE vs. the PICUS score.

RESULTS

There was no significant difference in hospital stay between the three different EuroSCORE risk groups. The difference in hospital stay between the high-risk and low-risk groups, identified by the CORRAD morbidity score, was significant (6.9 vs.11.2 days). For a prolonged intensive care stay, the patients identified as high risk by the EuroSCORE and by the PICUS score also had a significantly longer intensive care stay; however, the discriminatory power was low.

CONCLUSION

The EuroSCORE is not of value as a predictive system for a prolonged hospital stay. There is a relation between the high-risk patients identified by the EuroSCORE and a prolonged intensive care stay.

摘要

目的

验证欧洲心脏手术风险评估系统（EuroSCORE）作为冠状动脉旁路移植术（CABG）后住院时间延长及重症监护时间延长的预测指标，并与特定机构的评分系统进行比较。

方法

为评估住院时间延长情况，3359例患者纳入EuroSCORE与CORRAD发病率评分的分析。为评估重症监护时间延长情况，1638例患者纳入EuroSCORE与PICUS评分的分析。

结果

三个不同EuroSCORE风险组之间的住院时间无显著差异。CORRAD发病率评分确定的高风险组和低风险组之间的住院时间差异显著（6.9天对11.2天）。对于重症监护时间延长，EuroSCORE和PICUS评分确定为高风险的患者重症监护时间也显著更长；然而，鉴别能力较低。

结论

EuroSCORE作为预测住院时间延长的系统没有价值。EuroSCORE确定的高风险患者与重症监护时间延长之间存在关联。