Clinical Investigation

Assesment of Open Heart Surgery Outcome by European System for Cardiac Risk Evaluation (Euroscore)

  • Berent DISCIGIL
  • M. Ismail BADAK
  • Ugur GÜRCÜN
  • Mehmet BOGA
  • Erdem Ali ÖZKISACIK
  • Tugrul Ü. GÜNES

Received Date: 19.01.2006 Accepted Date: 02.05.2006 Meandros Med Dent J 2006;7(1):19-23

Objective: We aimed to assess the outcome of open heart surgery performed in our department by using EuroSCORE. Material and Methods: In this study, the first 300 consecutive patients who had undergone open heart surgery at Adnan Menderes University Cardiovascular Surgery Department were included. The mean age was 53±13 years (ranged from14 to 90 years). There were 75 females (25%) and 225 males (75%). All patients were operated through median sternotomy under cardiopulmonary bypass. Sixty eight preoperative and 29 peroperative patient related parameters were ealuated for every single patient and three risk groups were identified according to EuroSCORE: low risk group (analytical score 0-2), intermediate risk group (analytical score 3-5) and high risk group (analytical score>5). The actual mortality rates were compared with the predicted mortality rates in each risk group. Results: The actual mortality rate was zero in the low-risk group (97 patients) while the predicted mortality was1.3 ±0.3%. The predicted and actual mortality rates were 3.2±0.9 % and 1%, in the intermediate risk group (104 patients), 26.0±23.7 % and 14.1 % in the high risk group (99 patients), sequentially. Conclusion: Open heart surgery is performed with low mortality rates in our department.

Keywords: Open heart surgery, Euroscore