Excel print version for patients notes
About the "logistic" euroSCORE
Two risk calculators are available on this website: the simple additive EuroSCORE and the full logistic EuroSCORE. The reason for having both is explained below.
The simple additive EuroSCORE model is now well established and has been validated in many patient populations across the world. It is easy to use, even at the bedside. It is very valuable in quality control in cardiac surgery and gives quite a useful estimate of risk in individual patients. However, particularly in very high risk patients, the simple additive model may sometimes underestimate the risk when certain combinations of risk factors co-exist. The full logistic version of EuroSCORE produces more accurate risk prediction for a particular high risk patient. Its main disadvantage is that the risk has to be calculated in quite a complex way - not by mental arithmetic or "on the back of an envelope".
Notes
[1] Chronic pulmonary disease Long term use of bronchodilators or steroids
for lung disease
[2] Extracardiac arteriopathy One or more of claudication, carotid
occlusion or >50% stenosis, previous or planned intervention on the abdominal
aorta, limb arteries or carotids
[3] Neurological dysfunction Disease severely affecting ambulation or
day-to-day functioning
[4] Active endocarditis Patient still on antibiotic treatment for
endocarditis at time of surgery
[5] Critical preoperative state Ventricular Tachycardia / Ventricular
Fibrillation or aborted sudden death, preoperative cardiac massage, preoperative
ventilation before anaesthetic room, preoperative inotropes or IABP,
preoperative Acute Renal Failure (anuria or oliguria <10ml/hr)
[6] Unstable angina Rest angina requiring i.v. nitrates until arrival in
anaesthetic room
[7] Recent MI Myocardial infarction within 90 days
[8] Pulmonary hypertension Systolic pulmonary artery pressure >60mmHg
[9] Emergency Operation before beginning of next working day