Rendimiento de EuroSCORE II en Latinoamérica: una revisión sistemática



Título del documento: Rendimiento de EuroSCORE II en Latinoamérica: una revisión sistemática
Revue: Revista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000454979
ISSN: 0034-9887
Autores: 1
1
2
1
Instituciones: 1Universidad de Talca, Escuela de Medicina,, Talca. Chile
2Universidad de Concepción, Facultad de Medicina, Concepción. Chile
Año:
Volumen: 150
Número: 4
Paginación: 424-430
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Background: EuroSCORE II is a mortality risk score for cardiac surgery in adults. This version is widely validated and compared with other scores in Europe, North America, and Asia. Aim: To determine the performance of the EuroSCORE II for the prediction of mortality in cardiac surgeries in Latin America. Material and Methods: A systematic review was carried out of studies from Latin American countries evaluating the performance of EuroSCORE II in cardiac surgery. The inclusion criteria were patients older than 18 years, from Latin America, published in English, Spanish and/or Portuguese, between the years 2012 to 2020, with the term “EuroSCORE II” in the title. Observed mortality and estimated mortality data by EuroSCORE II were extracted. The calibration was determined by the observed/estimated mortality ratio and the discrimination was evaluated using receiver operating characteristic (ROC) curves. Results: Four articles met the inclusion criteria, including 8372 patients. The average patients’ age was 62 years and 34% were women. The observed and Euroscore II estimated mortality figures were 7.08 and 3.89%, respectively. The average area under the curve of ROC curves was 0.77 and the observed/ estimated mortality ratio was 2.04. Conclusions: In these studies, EuroSCORE II underestimated mortality in cardiac surgery
Disciplinas: Medicina
Palabras clave: Sistema cardiovascular,
Cirugía,
Cirugía cardiaca,
Mortalidad,
Escalas de riesgo
Keyword: Cardiovascular system,
Surgery,
Cardiac surgery,
Mortality,
Risk scales
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