Validation of German Aortic Valve Score in a Multi-Surgeon Single Center
Yükleniyor...
Dosyalar
Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Soc Brasil Cirurgia Cardiovasc
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Risk assessment for operative mortality is mandatory for all cardiac operations. For some operation types such as aortic valve repair, EuroSCORE II overestimates the mortality rate and a new scoring system (German AV score) has been developed for a more accurate assessment of operative risk. In this study, we aimed to validate German Aortic Valve Score in our clinic in patients undergoing isolated aortic valve replacement. Methods: A total of 35 patients who underwent isolated open aortic valve replacement between 2010 and 2013 were included. Patients with concomitant procedures and transcatheter aortic valve implantation were excluded. Patients' data were collected and analyzed retrospectively. Patients' risk scores EuroSCORE II were calculated online according to criteria described by EuroSCORE taskforce, Aortic Valve Scores were also calculated. Results: The mean age of patients was 61.14 +/- 13.25 years (range 29-80 years). The number of female patients was 14 (40%) and body mass index of 25 (71.43%) patients was in range of 22-35. Mean German Aortic Valve Score was 1.05 +/- 0.96 (min: 0 max: 4.98) and mean EuroSCORE was 2.30 +/- 2.60 (min: 0.62, max: 2.30). The Aortic Valve Score scale showed better discriminative capacity (AUC 0.647, 95% CI 0.439-0.854). The goodness of fit was x(2)HL[Aortic Valve Score]= 16.63; P= 0.436). EuroSCORE II scale had shown less discriminative capacity (AUC 0.397, 95% CI 0.200-0.597). The goodness of fit was good for both scales. The goodness of fit was x(2)HL[EuroSCORE II]= 30.10; P= 0.610. Conclusion: In conclusion, German AV score applies to our population with high predictive accuracy and goodness of fit.
Açıklama
WOS: 000408048400005
PubMed: 28492787
PubMed: 28492787
Anahtar Kelimeler
Aortic Valve, Risk Assessment, Adult, Risk Grade
Kaynak
Brazilian Journal Of Cardiovascular Surgery
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
32
Sayı
2
