成人体外循环心脏手术的风险评价

目的探讨欧洲评分系统(EuroSCORE)对体外循环心脏手术的风险预测效果。方法应用EuroSCORE系统对我院2004年8月-2005年5月期间接受体外循环心脏手术的46名患者作术前评分,分析评分结果与术后恶性事件(AEs)ICU滞留时间的相关性。结果EuroSCORE评分系统与AEs的相关系数是0.483,P=0.001;AUC是0.817,P=0.002;EuroSCORE评分与术后ICU滞留时间的相关系数为0.512,P<0.001。结论EuroSCORE术前评价系统在总体上能够较好地评估心脏手术后发生恶性事件的风险以及术后ICU的滞留时间。

Risk evaluation for cardiac operation under CPB in adults

Objective To discuss the predictive efficiency of European System for Cardiac Operative Risk Evaluation (EuroSCORE). Methods This study involved 46 patients who underwent cardiac operation with CPB from August 2004 to May 2005. Each patient was preoperatively scored by EuroSCORE. Statistical analysis included the correlation between EuroSCORE system and the postoperative Adverse Events (AEs), receiver operating characteristics (ROC) curve and the area under the curve (AUC). correlation between EuroSCORE systems and Intensive Care Unity(ICU)stay. Results Spearman correlation coefficients about the EuroSCORE with the AEs was 0.483, P=0.001, The AUC was 0.817, P=0.002. Correlation coefficient of the EuroSCORE with the ICU stay was 0.512,P=0.000. Conclusion The EuroSCORE could be used to predict the postoperat risk and the ICU stay after the cardiac operation.