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ESPACE USAGERS
ET GRAND PUBLIC

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Ce site respecte les principes de la charte HONcode de HON Ce site respecte les principes de la charte HONcode.
Site certifié en partenariat avec la Haute Autorité de Santé (HAS).
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Ressources et utilitaires

Scoring systems for ICU and surgical patients:

EuroSCORE (European System for Cardiac Operative Risk Evaluation)


Variables (help) Values Beta (Logistic EuroSCORE) Points (EuroSCORE)
Age (years)
 
 
Female gender
Emergency
Serum creatinine > 200 µmol/ L
L.V.E.F.
C.O.P.D.
Surgery on thoracic aorta
Extracardiac arteriopathy
Neurological dysfunction
Active endocarditis
Critical preoperative state
Unstable angina
Recent myocardial infarction (< 90 days)
Systolic PAP > 60 mmHg
Previous cardiac surgery
Postinfarct. septal rupture
Other than isolated C.A.B.G.
Logistic EuroSCORE:

Logit = -4.789594 + Sum (beta)
+ 0.0666354 *Xi
(Xi = 1 if patient age < 60;
Xi increase by one point per year thereafter).
Predicted death Rate =
e(Logit) / (1 + e (Logit))
EuroSCORE:
EuroSCORE= Sum (points)

References

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Definitions

COPD : longterm use of bronchodilators or steroids for lung disease.
Extracardiac arteriopathy : any one or more of the following : claudication, carotid occlusion or > 50% stenosis, previous or planned intervention on the abdominal aorta, limb arteries or carotids.
Neurological dysfunction : disease severely affecting ambulation or day-to-day functioning.
Previous cardiac surgery : requiring opening of the pericardium.
Active endocarditis : patient still under antibiotic treatment for endocarditis at the time of surgery.
Critical preoperative state : any one or more of the following : ventricular tachycardia or fibrillation or aborted sudden death, preoperative cardiac massage, preoperative ventilation before arrival in the anaesthetic room, preoperative inotropic support, intraaortic balloon counterpulsation or preoperative acute renal failure (anuria or oliguria , 10 mL/h).
Unstable angina : rest angina requiring IV nitrates until arrival in the anaesthetic room.
Emergency : carried out on referral before the beginning of the next working day.
Surgery on thoracic aorta : for disorder of ascending, arch, or descending aorta.
Other than isolated C.A.B.G. : major cardiac procedure other than or in addition to C.A.B.G.

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