Cardiac surgery risk scoring systems: In quest for the best

Over the last 3 decades, there has been a profusion in the number of cardiac surgery risk score systems available (approximately 20 in current adult cardiac surgery literature).1 One common factor in these scoring systems is that they have all been proposed from either North America or Europe.1 The field of cardiac surgery is continuously evolving with changes in surgical indications, spectrum of diseases, surgical expertise, perioperative management and extensiveness of surgical audit. Consequently, newer scoring systems have been regularly published with the common objective of predicting surgical mortality and more recently,  surgical morbidity. Search of literature reveals no scoring system from large population subgroups like Japan, South-east Asia or Africa. Several reports from these populations have employed the commonly used ‘western’ risk scoring systems like the European System for Cardiac Operative Risk Evaluation (Euroscore) I, Euroscore II, Parsonnet or the Society of Thoracic Surgeons (STS) systems to...
Source: Heart Asia - Category: Cardiology Authors: Tags: Intensive care Editorial Source Type: research