zdorПроблемы здоровья и экологииHealth and Ecology Issues2220-09672708-6011Gomel State Medical University10.51523/2708-6011.2007-4-1-13zdor-518Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEОПРЕДЕЛЕНИЕ СТЕПЕНИ ОПЕРАЦИОННОГО РИСКА ПРИ ОПЕРАЦИЯХ РЕВАСКУЛЯРИЗАЦИИ МИОКАРДА ПО МЕТОДИКЕ EUROSCOREEUROPEAN SCORE FOR CARDIAC OPERATIVE RISK EVALUATIONСамалавичюсР. .SamalaviciusR. .noemail@neicon.ruМисюренеИ. .MisiurieneL. .noemail@neicon.ruУрбонасК. .UrbonasK. .noemail@neicon.ruРингайтенеД. .RingaitieneD. .noemail@neicon.ruНоркунасГ. .NorkunasG. .noemail@neicon.ruКалинаускасГ. .KalinauskasG. .noemail@neicon.ruБаублисА. .BaublusA. .noemail@neicon.ruЦентр анестезиологии и интенсивной терапииCenter of anesthesia, intensive care and pain management200728032007016673Copyright © Самалавичюс Р..., Мисюрене И..., Урбонас К..., Рингайтене Д..., Норкунас Г..., Калинаускас Г..., Баублис А..., 20072007Самалавичюс Р..., Мисюрене И..., Урбонас К..., Рингайтене Д..., Норкунас Г..., Калинаускас Г..., Баублис А...Samalavicius R..., Misiuriene L..., Urbonas K..., Ringaitiene D..., Norkunas G..., Kalinauskas G..., Baublus A...Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.gsmu.by/jour/article/view/518

Возросший интерес к анализу факторов операционного риска, которые влияют на результаты хирургического лечения, привел к появлению многочисленных методик определения факторов риска. Методика определения операционного риска EuroSCORE, созданная в Европе, широко и успешно применяется в различных кардиохирургических центрах. Однако никакая система не будет достаточно объективной, если она апробирована на локальной популяции больных. Цель данного исследования - применение системы EuroSCORE в клинике сердечной хирургии Вильнюсского Университета, оценка ее эффективности. Изучаемый контингент составили больные, которым в 2000-2002 годах в клинике Сердечной хирургии Вильнюсского Университета были выполнены операции по реваскуляризации миокарда. Стандартная модель EuroSCORE применялась для определения смертности, осложнений и времени пребывания в отделении интенсивной терапии. Эффективность метода определялась площадью, ограниченной кривыми оперативных характеристик.

The growing interest of risk adjusted analysis of outcome in cardiac surgery has led to the development of variety of risk prediction models. EuroSCORE, a risk scoring system developed in 9 countries in Europe, has gained popularity during recent years. However, any scoring system can’t be used reliably when its validity has been tested in the local patient population. The aim of this study was to assess the performance of EuroSCORE model on the patients operated in our institution. All consecutive coronary artery bypass grafting patients operated on between 2000 and 2002 in Vilnius university hospital Santariškių Clinics were subjected to the investigation. The standard EuroSCORE model was used to predict in-hospital mortality, morbidity and prolonged intensive care unit length of stay. Model discrimination was tested by determining the area under the receiver operating characteristic (ROC) curve.

сердечная хирургиябаллы рискасмертностьEuroSCOREcardiac surgeryrisk scoresmortalityEuroSCOREсердечная хирургиябаллы рискасмертностьEuroSCOREcardiac surgeryrisk scoresmortalityEuroSCOREReferencesPaimen, B. A simple classification of the risk in cardiac surgery / B. Paimen, C. Pelletier, I. Dryda // Can Anesth Soc J. - 1983. - Vol. 30. - P. 61-68.Paimen, B. A simple classification of the risk in cardiac surgery / B. Paimen, C. Pelletier, I. Dryda // Can Anesth Soc J. - 1983. - Vol. 30. - P. 61-68.Parsonnet, V. A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease / V. Parsonnet, D. Dean, A. Bernstein // Circulation. - 1989. - Vol. 79. - Р. 3-12.Parsonnet, V. A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease / V. Parsonnet, D. Dean, A. Bernstein // Circulation. - 1989. - Vol. 79. - Р. 3-12.Shroyer, L. Coronary artery bypass risk model: The society of thoracic surgeons adult cardiac national database / L. Shroyer, F. Grover, F. Edwards // Ann Thorac Surg. - 1998. - Vol. 65. - Р. 879-884.Shroyer, L. Coronary artery bypass risk model: The society of thoracic surgeons adult cardiac national database / L. Shroyer, F. Grover, F. Edwards // Ann Thorac Surg. - 1998. - Vol. 65. - Р. 879-884.Estafaneus, F. A severity score for preoperative risk factors as related to morbidity in patients with coronary artery disease undergoing myocardial revascularization surgery / F. Estafaneus, T. Higgins, F. Loop // Current Opinion Cardiol. - 1992. - Vol. 7. - Р. 950-958.Estafaneus, F. A severity score for preoperative risk factors as related to morbidity in patients with coronary artery disease undergoing myocardial revascularization surgery / F. Estafaneus, T. Higgins, F. Loop // Current Opinion Cardiol. - 1992. - Vol. 7. - Р. 950-958.Multicenter validation of risk index for mortality, intensive care unit stay, and overall hospital length of stay after cardiac surgery / J. Tu [et al.] // Circulation. - 1995. - Vol. 91. - Р. 677-684.Multicenter validation of risk index for mortality, intensive care unit stay, and overall hospital length of stay after cardiac surgery / J. Tu [et al.] // Circulation. - 1995. - Vol. 91. - Р. 677-684.A model of predicts morbidity and mortality after coronary bypass graft surgery / J. Magovern [et al.] // J Am Coll Cardiol. - 1996. -Vol. 28. - Р. 1147-1153.A model of predicts morbidity and mortality after coronary bypass graft surgery / J. Magovern [et al.] // J Am Coll Cardiol. - 1996. -Vol. 28. - Р. 1147-1153.Changes in patients undergoing coronary artery bypass grafting: 1987-1990 / D. Dish [et al.] // Ann Thorac Surg. - 1994. - Vol. 57. - Р. 416-423.Changes in patients undergoing coronary artery bypass grafting: 1987-1990 / D. Dish [et al.] // Ann Thorac Surg. - 1994. - Vol. 57. - Р. 416-423.Effect of cardiac surgery patient characteristics on outcomes from 1981 through 1995 / С. Warner [et al.] // Circulation. - 1997. - Vol. 96. - Р. 1575-1579.Effect of cardiac surgery patient characteristics on outcomes from 1981 through 1995 / С. Warner [et al.] // Circulation. - 1997. - Vol. 96. - Р. 1575-1579.Target, application, and interpretation of scores and alternative methods for risk assessment in cardiac surgery / В. Osswald [et al.] // Thorac Cardiovasc Surg. - 2000. - Vol. 48. - Р. 72-78.Target, application, and interpretation of scores and alternative methods for risk assessment in cardiac surgery / В. Osswald [et al.] // Thorac Cardiovasc Surg. - 2000. - Vol. 48. - Р. 72-78.Increased risk and decreased morbidity of coronary artery bypass grafting between 1986 and 1994 / F. Estafaneus [et al.] // Ann Thorac Surg. - 1998. - Vol. 65. - Р. 383-386.Increased risk and decreased morbidity of coronary artery bypass grafting between 1986 and 1994 / F. Estafaneus [et al.] // Ann Thorac Surg. - 1998. - Vol. 65. - Р. 383-386.European system for cardiac operative risk evaluation / S. Nashef [et al.] // Europ J Cardiothorac Surg. - 1999. - Vol. 16. - Р. 9-13.European system for cardiac operative risk evaluation / S. Nashef [et al.] // Europ J Cardiothorac Surg. - 1999. - Vol. 16. - Р. 9-13.Validation of European system for cardiac operative risk evaluation (EuroSCORE) in North American cardiac surgery / S. Nashef [et al.] // Eur J Cardiothorac Surg. - 2002. - Vol. 22. - Р. 101-105.Validation of European system for cardiac operative risk evaluation (EuroSCORE) in North American cardiac surgery / S. Nashef [et al.] // Eur J Cardiothorac Surg. - 2002. - Vol. 22. - Р. 101-105.Assessment of the EuroSCORE as a predictor for mortality in myocardial revascularization surgery at the Heart Institute at Parnambuco / F. Moraes [et al.] // Braz J Cardiovasc Surg. - 2006. - Vol. 21. - Р. 29-34.Assessment of the EuroSCORE as a predictor for mortality in myocardial revascularization surgery at the Heart Institute at Parnambuco / F. Moraes [et al.] // Braz J Cardiovasc Surg. - 2006. - Vol. 21. - Р. 29-34.Risk stratification analysis of operative mortality in heart and thoracic aorta surgery: comparison between Parsonnet and EuroSCORE additive model / J. Kawachi [et al.] // Eur J Cardiothorac Surg. - 2001. - Vol. 20. - Р. 961-966.Risk stratification analysis of operative mortality in heart and thoracic aorta surgery: comparison between Parsonnet and EuroSCORE additive model / J. Kawachi [et al.] // Eur J Cardiothorac Surg. - 2001. - Vol. 20. - Р. 961-966.Validation of the EuroSCORE model in Australia / С. Yap [et al.] // Eur J Cardiothorac Surg. - 2006. - Vol. 29. - Р. 441-446.Validation of the EuroSCORE model in Australia / С. Yap [et al.] // Eur J Cardiothorac Surg. - 2006. - Vol. 29. - Р. 441-446.Intermittent antegrade tepid blood cardioplegia: superior myocardial protection for coronary artery bypass gradfting procedures / R. Samalavičius [et al.] // Medicina. - 1998. - Vol. 34, № 1. - Р. 61-67.Intermittent antegrade tepid blood cardioplegia: superior myocardial protection for coronary artery bypass gradfting procedures / R. Samalavičius [et al.] // Medicina. - 1998. - Vol. 34, № 1. - Р. 61-67.Does Euroscore work in individual European countries? / F. Roques [et al.] // Europ J Cadiothorac Surg. - 2000. - Vol. 18. - Р. 27-30.Does Euroscore work in individual European countries? / F. Roques [et al.] // Europ J Cadiothorac Surg. - 2000. - Vol. 18. - Р. 27-30.Risk stratification for open heart operations: Comparison of centers regardless of the influence of the surgical team / Р. Pinna-Pintor [et al.] // Ann Thorac Surg. - 1997. - Vol. 64. - Р. 410-413.Risk stratification for open heart operations: Comparison of centers regardless of the influence of the surgical team / Р. Pinna-Pintor [et al.] // Ann Thorac Surg. - 1997. - Vol. 64. - Р. 410-413.The relationship between predicted and actual cardiac mortality: impact of risk grouping and individual surgeons / S. Nashef [et al.] // Eur J Cardiothoracic Surg. - 2001. - Vol. 19. - Р. 817-820.The relationship between predicted and actual cardiac mortality: impact of risk grouping and individual surgeons / S. Nashef [et al.] // Eur J Cardiothoracic Surg. - 2001. - Vol. 19. - Р. 817-820.Does the completeness of revascularization contribute to an improved early survival in patients up to 70 years of age / В. Osswald [et al.] // Thorac cardiovasc Surg. - 2001. - Vol. 49. - Р. 373-377.Does the completeness of revascularization contribute to an improved early survival in patients up to 70 years of age / В. Osswald [et al.] // Thorac cardiovasc Surg. - 2001. - Vol. 49. - Р. 373-377.Cardiopulmonary-bypass time has an important independent influence on mortality and morbidity / R. Wrеsselnik [et al.] // Europ J Cardiothorac Surg 1997. - Vol. 11. - Р. 1141-1145. Myocardial protection during cardiac operations / F. Loop [et al.] // J Thorac Cardiovasc Surg. - 1992. - Vol. 104. - Р. 608-614.Cardiopulmonary-bypass time has an important independent influence on mortality and morbidity / R. Wrеsselnik [et al.] // Europ J Cardiothorac Surg 1997. - Vol. 11. - Р. 1141-1145. Myocardial protection during cardiac operations / F. Loop [et al.] // J Thorac Cardiovasc Surg. - 1992. - Vol. 104. - Р. 608-614.

The authors declare that there are no conflicts of interest present.