KCH, the German preoperative score for isolated coronary artery bypass surgery: Is it superior to the logistic EuroSCORE?

Thoracic and Cardiovascular Surgeon

Volumn 59, Issue 7, 2011, Pages 399-405

  Badreldin, A M A ^a   Kania, A ^a   Ismail, M M A ^a   Lehmann, T ^a   Gummert, J ^b   Doenst, T ^a   Hekmat, K ^a  

^a FRIEDRICH SCHILLER UNIVERSITY JENA   (Germany)

^b RUHR UNIVERSITY BOCHUM   (Germany)

Author keywords

CABG; cardiac surgery; coronary artery bypass grafts surgery; morbidity); mortality prediction; outcomes (includes mortality; scoring system; statistics

Indexed keywords

ACCURACY; ADULT; AGED; ARTICLE; CONTROLLED STUDY; CORONARY ARTERY BYPASS SURGERY; FEMALE; GERMANY; HEART SURGERY; HOSPITAL ADMISSION; HUMAN; INTERMETHOD COMPARISON; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; OFF PUMP CORONARY SURGERY; POPULATION RESEARCH; PREDICTION; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; REGISTER; RELIABILITY; SCORING SYSTEM; STATISTICAL SIGNIFICANCE;

AGED; CORONARY ARTERY BYPASS; CORONARY ARTERY BYPASS, OFF-PUMP; CORONARY ARTERY DISEASE; DECISION SUPPORT TECHNIQUES; FEMALE; GERMANY; HOSPITAL MORTALITY; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; ODDS RATIO; PATIENT SELECTION; PROSPECTIVE STUDIES; REPRODUCIBILITY OF RESULTS; RISK ASSESSMENT; RISK FACTORS; ROC CURVE; TIME FACTORS; TREATMENT OUTCOME;

EID: 80053334567     PISSN: 01716425     EISSN: 14391902     Source Type: Journal    
DOI: 10.1055/s-0030-1270944     Document Type: Article

References (28)

1. Roques F, Nashef S A. M., Michel P et al. Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19030 patients. Eur J Cardiothorac Surg 1999 15 816-823 (Pubitemid 29331957)
2. Nashef S A. M., Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 1999 16 9-13 (Pubitemid 29336425)
3. Roques F, Michel P, Goldstone A R., Nashef S A. M. The logistic EuroSCORE. Eur Heart J 2003 24 1-2
4. Roques F, Nashef S A., Michel P, Pinna Pintor P, David M, Baudet E, The EuroSCORE study group. Does EuroSCORE work in individual European countries? Eur J Cardiothorac Surg 2000 18 (1) 27-30 (Pubitemid 30408624)
5. Kawachi Y, Nakashima A, Toshima Y, Arinaga K, Kawano H. Evaluation of the quality of cardiovascular surgery care using risk stratification analysis according to the EuroSCORE additive model. Circ J 2002 66 (2) 145-148
6. Nashef S A., Roques F, Hammill B G. et al. Validation of European system for cardiac operative risk evaluation (EuroSCORE) in North American cardiac surgery. Eur J Cardiothorac Surg 2002 22 (1) 101-105 (Pubitemid 34743720)
7. Bhatti F, Grayson A D., Grotte G et al. North West Quality Improvement Programme in cardiac interventions. The logistic EuroSCORE in cardiac surgery: how well does it predict operative risk? Heart 2006 92 1817-1820 (Pubitemid 44851330)
8. Sergeant P, de Worm E, Meyns B. Single centre, single domain validation of the EuroSCORE on a consecutive sample of primary and repeat CABG. Eur J Cardiothorac Surg 2001 20 1176-1182 (Pubitemid 33051087)
9. Gummert J F., Funkat A, Osswald B et al. EuroSCORE overestimates the risk of cardiac surgery: results from the national registry of the German society of thoracic and cardiovascular surgery. Clin Res Cardiol 2009 98 (6) 363-369
10. Bundesgeschäftsstelle Qualitätssicherung gGmbH. Neue Risikoadjustierung in der Koronarchirurgie: der KCH-Score. In: Mohr V D. Bauer J Döbler K Eckert O Fischer B Woldenga C Qualität sichtbar machen. BQS-Qualitätsreport 2004. Düsseldorf BQS Bundesgeschäftsstelle Qualitätssicherung gGmbH 2005 http://www.bqs-outcome.de/2005/ergebnisse/ leistungsbereiche/koronarchirurgie/buaw/risikoadj Accessed September 05, 2010
11. Bundesgeschäftsstelle Qualitätssicherung gGmbH. Risikoadjustierung in der Koronarchirurgie: der KCH 2.0-Score. In: Veit C Bauer J Döbler K Eckert O Fischer B Woldenga C Qualität sichtbar machen. BQS-Qualitätsreport 2007. Düsseldorf BQS Bundesgeschäftsstelle Qualitätssicherung gGmbH 2008 http://www.bqs-outcome.de/2007/ergebnisse/ leistungsbereiche/koronarchirurgie/buaw/risikoadjustierung Accessed September 05, 2010
12. Bundesgeschäftsstelle Qualitätssicherung gGmbH. Risikoadjustierung in der Koronarchirurgie: der KCH 2.0-Score. In: Veit C Bauer J Döbler K Fischer B Qualität sichtbar machen. BQS- Qualitätsreport 2008. Düsseldorf BQS Bundesgeschäftsstelle Qualitätssicherung gGmbH 2009 http://www.bqs-outcome.de/2007/ergebnisse/ leistungsbereiche/koronarchirurgie/buaw/risikoadjustierung Accessed September 05, 2010
13. Anderson R P., Jin R, Grunkemeier G L. Understanding logistic regression analysis in clinical reports: an introduction. Ann Thorac Surg 2003 75 753-757 (Pubitemid 36298334)
14. DeLong E R., DeLong D M., Clarke-Pearson D L. Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics 1988 44 837-845
15. Sakr Y, Krauss C, Amaral A et al. Comparison of the performance of SAPS II, SAPS3, APACHE II, and their customized prognostic models in a surgical intensive care unit. Br J Anaesth 2008 101 798-803
16. Heart surgery in United Kingdom. http://heartsurgery.cqc.org.uk/ Accessed September 05, 2010
17. Gummert J F., Funkat A, Beckmann A et al. Cardiac surgery in Germany during 2008. A report on behalf of the German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg 2009 57 315-323
18. Hannan E L., Siu A L., Kumar D, Kilburn Jr H, Chassin M R. The decline in coronary artery bypass graft surgery in New York State: the rule of surgeon volume. J Am Med Assoc 1995 273 (3) 209-213
19. Ivanov J, Tu J V., Naylor C D. Ready-made, recalibrated, or remodeled? Issues in the use of risk indexes for assessing mortality after coronary artery bypass graft surgery. Circulation 1999 99 2098-2104 (Pubitemid 29196792)
20. Pitkänen O, Niskanen M, Rehnberg S, Hippeläinen M, Hynynen M. Intra-institutional prediction of outcome after cardiac surgery: comparison between a locally derived model and the EuroSCORE. Eur J Cardiothoracic Surg 2000 18 (6) 703-710
21. Reid C, Billah B, Dinh D et al. An Australian risk prediction model for 30-day mortality after isolated coronary artery bypass: the AusSCORE. J Thorac Cardiovasc Surg 2009 138 (4) 904-910
22. D'Errigo P, Seccareccia F, Rosato S et al, The Research Group of the Italian CABG Outcome Project. Comparison between an empirically derived model and the EuroSCORE system in the evaluation of hospital performance: the example of the Italian CABG Outcome Project. Eur J Cardiothorac Surg 2008 33 325-333
23. Carvalho M R., Silva N A., Klein C H., Oliveira G M. Application of the EuroSCORE in coronary artery bypass surgery in public hospitals in Rio de Janeiro, Brazil. Rev Bras Cir Cardiovasc 2010 25 (2) 209-217
24. van Straten A H., Tan E M., Hamad M A., Martens E J., van Zundert A A. Evaluation of the EuroSCORE risk scoring model for patients undergoing coronary artery bypass graft surgery: a word of caution. Neth Heart J 2010 18 (78) 355-359
25. Yap C H., Reid C, Yii M et al. Validation of the EuroSCORE model in Australia. Eur J Cardiothorac Surg 2006 29 (4) 441-446
26. Zheng Z, Li Y, Zhang S, Hu S, Chinese CABG Registry Study. The Chinese coronary artery bypass grafting registry study: how well does the EuroSCORE predict operative risk for Chinese population? Eur J Cardiothorac Surg 2009 35 (1) 54-58
27. Gogbashian A, Sedrakyan A, Treasure T. EuroSCORE: a systematic review of international performance. Eur J Cardiothorac Surg 2004 25 (5) 695-700 (Pubitemid 38481979)
28. Omar R Z., Ambler G, Royston P, Eliahoo J, Taylor K M. Cardiac surgery risk modeling for mortality: a review of current practice and suggestions for improvement. Ann Thorac Surg 2004 77 (6) 2232-2237 (Pubitemid 38686640)