EuroSCORE

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EuroSCORE

EuroSCORE (pronounced: /ˈjʊərəʊskɔːr/), an acronym for European System for Cardiac Operative Risk Evaluation, is a widely used risk stratification tool in cardiac surgery. It was first introduced in the late 1990s by a group of European researchers.

Etymology

The term "EuroSCORE" is derived from the words "European" and "SCORE", which stands for "System for Cardiac Operative Risk Evaluation". The name reflects its origin and its purpose as a risk evaluation system for cardiac surgery.

Definition

EuroSCORE is a method used to calculate the predicted risk of mortality in patients undergoing cardiac surgery. It is based on a number of preoperative factors, including patient-related factors (such as age, sex, and medical history), cardiac-related factors (such as the type and urgency of the surgery), and other factors (such as the surgical team's experience and the hospital's facilities).

Related Terms

  • Cardiac Surgery: A field of medicine involved in surgical treatment of diseases affecting the heart.
  • Risk Stratification: The process of identifying the risk level of a patient for certain medical conditions or outcomes.
  • Mortality Rate: The measure of the number of deaths in a particular population, scaled to the size of that population, per unit of time.

Usage

The EuroSCORE is used by healthcare professionals, particularly cardiac surgeons, to predict the risk of mortality in patients undergoing cardiac surgery. It helps in making informed decisions about the appropriateness of surgery, the choice of surgical procedure, and the level of postoperative care required.

Calculation

The EuroSCORE is calculated using a logistic regression equation that takes into account various factors such as age, sex, renal function, extracardiac arteriopathy, poor mobility, previous cardiac surgery, surgery on thoracic aorta, critical preoperative state, active endocarditis, and other factors.

Limitations

While the EuroSCORE is a valuable tool in risk stratification, it has its limitations. It may not accurately predict risk in certain patient populations, such as those with rare or complex cardiac conditions. It is also based on data from European populations, and may not be applicable to other ethnic or geographical groups.

External links

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