Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Is Euroscore Model an Appropriate Scale to Estimate the Mortality Before the Coronary Bypass Surgery in Iranian Patients?



Sadeghi SMMM1 ; Etesampour A2 ; Sadeghi FSMM3 ; Gharipour M4 ; Saeedi M1 ; Nilforoush P5 ; Shariat Z3
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Internal Medicine, School of Medicine, Islamic Azad University, Isfahan, Iran
  3. 3. School of Medicine, Najaf Abad Branch, Islamic Azad University, Isfahan, Iran
  4. 4. Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Department of Angiography, Sina Hospital, Delasa Research and Trapeutic Center, Isfahan, Iran

Source: Journal of Isfahan Medical School Published:2011

Abstract

Background: Coronary Artery Bypass Surgery (CABG) is an effective and important treatment for patients with coronary artery disease. Nowadays, there is more interest in prediction of mortality and patient's outcome after cardiac surgery. Several models have been designed to detect related risk factors to patient's outcome. This study evaluated one of the most valid models, EuroSCORE in patients who have had CABG in Sina cardiac surgery center in Isfahan. Method: EuroSCORE's values were calculated for 1511 patients who had CABG. All of them were followed up after 30 days. Result: 30-days mortality was 3.6% in our patient. Age (P = 0.02), left ventricle dysfunction (P = 0.03) and neurological dysfunction (P = 0.03) were the most important risk factors in our patient. The area under the ROC curve was 0.66. Conclusion: EuroSCORE model in our patient can predict 66% of 30-days mortality after CABG correctly. Thus, making a local model with more power to predict post CABG mortality is necessary in our country.
Related Docs
View other Related Docs
1. Evaluation of Accuracy of Euroscore Risk Model in Prediction of Perioperative Mortality After Coronary Bypass Graft Surgery in Isfahan, Iran, Journal of Research in Medical Sciences (2011)
2. The Value of Epicardial Adipose Tissue Thickness for Outcome Prediction of Patients Undergoing Coronary Artery Bypass Grafting Surgery, Journal of Research in Medical Sciences (2019)
3. Prediction of Cardiovascular Disease Mortality in a Middle Eastern Country: Performance of the Globorisk and Score Functions in Four Population-Based Cohort Studies of Iran, International Journal of Health Policy and Management (2022)
4. Cardiovascular Risk Factors and Clinical Outcomes Among Patients Hospitalized With Covid-19: Findings From the World Heart Federation Covid-19 Study, Global Heart (2022)
5. Nature of Cardiac Rehabilitation Around the Globe, EClinicalMedicine (2019)
6. Predictive Performance of Machine Learning Models for Kidney Complications Following Coronary Interventions: A Systematic Review and Meta-Analysis, International Urology and Nephrology (2025)
7. A Cardiovascular Risk Assessment Model According to Behavioral, Psychosocial and Traditional Factors in Patients With St-Segment Elevation Myocardial Infarction (Cras-Mi): Review of Literature and Methodology of a Multi-Center Cohort Study, Current Problems in Cardiology (2023)
8. An Office-Based Cardiovascular Prediction Model Developed and Validated in Cohort Studies of a Middle-Income Country, Journal of Clinical Epidemiology (2022)
Experts (# of related papers)
View all Related Experts
Nizal Sarrafzadegan (17)
Masoumeh Sadeghi (16)
Other Related Docs
9. Incidence of Atrioventricular Block After Isolated Coronary Artery Bypass Grafting: A Systematic Review and Pooled-Analysis, Frontiers in Cardiovascular Medicine (2023)
10. The Effects of Mean Arterial Pressure During Cardiopulmonary Bypass on Clinical and Paraclinical Parameters During and After Coronary Artery Bypass Graft Surgery, Journal of Isfahan Medical School (2012)
11. Prognostic Value of Procalcitonin for Morbidity and Mortality in Patients After Cardiac Surgery, Cardiology Research and Practice (2021)
12. The Pattern of In-Hospital Mortality of Myocardial Infarction and Associated Factors in Iran: A National Study, Journal of Isfahan Medical School (2015)
13. Relationship Between Complete Revascularization and Survival After Post-Infarction Ventricular Septal Rupture, ARYA Atherosclerosis (2023)
14. The Precision of Mortality Prediction by a Novel Checklist (M Score) Compared With Well-Known Scoring Systems in Non-Trauma Patients in Intensive Care Unit, Journal of Isfahan Medical School (2019)
15. Appropriate Cut-Off Values of Waist Circumference to Predict Cardiovascular Outcomes: 7-Year Follow-Up in an Iranian Population, Internal Medicine (2012)
16. Mortality Associated With Surgical Site Infections Following Cardiac Surgery: Insights From the International Id-Iri Study, IJID Regions (2025)
17. Comparison of Survival Rate and Complications of Percutaneous Coronary Intervention, Coronary Artery Bypass Graft, and Medical Treatment in Patients With Left Main And/Or Three Vessel Diseases, ARYA Atherosclerosis (2020)
18. Clinical Determinants of Left Ventricular Ejection Fraction Deterioration in Patients Suffered From Complete Left Bundle Branch Block, Iranian Red Crescent Medical Journal (2015)
19. Obstructive Sleep Apnea and Postoperative Complications in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Need for Preventive Strategies, International Journal of Preventive Medicine (2014)
20. Cardiopulmonary Arrest After Cardiac Surgery: A Retrospective Cohort of 142 Patients With Nine Year Follow Up, Heart and Lung (2021)
21. Cardiovascular Disease Risk Assessment: Triglyceride/High-Density Lipoprotein Versus Metabolic Syndrome Criteria, Journal of Research in Health Sciences (2019)
22. Heart Rate and Cardiovascular Events: A Nested Case-Control in Isfahan Cohort Study, Archives of Iranian Medicine (2014)
23. Developing Non-Laboratory Cardiovascular Risk Assessment Charts and Validating Laboratory and Non-Laboratory-Based Models, Global Heart (2021)
24. Predictive Factors of Short-Term Survival From Acute Myocardial Infarction in Early and Late Patients in Isfahan and Najafabad, Iran, ARYA Atherosclerosis (2016)
25. The Prediction of Mortality Influential Variables in an Intensive Care Unit: A Case Study, Personal and Ubiquitous Computing (2023)
26. The Association Between Serum Lactate Level and Post Cabg Complications in Cardiac Patients, Journal of Isfahan Medical School (2011)
27. Modifying Stressors Using Betty Neuman System Modeling in Coronary Artery Bypass Graft: A Randomized Clinical Trial, Journal of Caring Sciences (2020)
28. Medical Therapy Versus Percutaneous Coronary Intervention or Coronary Artery Bypass Graft in Stable Coronary Artery Disease; a Systematic Review and Meta-Analysis of Randomized Clinical Trials, ARYA Atherosclerosis (2022)
29. Electrocardiogram Abnormalities and Risk of Cardiovascular Mortality and All-Cause Mortality in Old Age: The Kahrizak Elderly Study (Kes), Archives of Gerontology and Geriatrics (2014)
30. Clinical Characteristics, Management and 1-Year Outcomes of Patients With Acute Coronary Syndrome in Iran: The Iranian Project for Assessment of Coronary Events 2 (Ipace2), BMJ Open (2015)
31. Immediate Results and Six-Month Outcomes After Percutaneous Coronary Intervention in a Referral Heart Center in Isfahan, Iran, ARYA Atherosclerosis (2011)
32. Determination of Shock Index and Age Shock Index Cut-Off Points in Patients With St-Segment Elevation Myocardial Infarction: Semi-Ci Study, International Journal of Cardiovascular Sciences (2024)
33. Prognostic Value of Shock Index, Modified Shock Index, and Age-Adjusted Derivatives in Prediction of In-Hospital Mortality in Patients With Acute Decompensated Heart Failure: Persian Registry of Cardiovascular Disease/Heart Failure Study, Anatolian Journal of Cardiology (2022)
34. Explaining the Decline in Coronary Heart Disease Mortality Rate Using Impact Model: Estimation of the Changes in Risk Factors and Treatment Uptake in Iran Between 2007 and 2016, ARYA Atherosclerosis (2023)
35. Model Prediction for In-Hospital Mortality in Patients With Covid-19: A Case–Control Study in Isfahan, Iran, American Journal of Tropical Medicine and Hygiene (2021)
36. Coronary Bypass Surgery Versus Percutaneous Coronary Intervention: Cost-Effectiveness in Iran: A Study in Patients With Multivessel Coronary Artery Disease, International Journal of Technology Assessment in Health Care (2014)
37. Trends of 28 Days Case Fatality Rate After First Acute Myocardial Infarction in Isfahan, Iran, From 2000 to 2009, ARYA Atherosclerosis (2015)
38. Survival Rate and Predictors of Mortality in Patients Hospitalised With Heart Failure: A Cohort Study on the Data of Persian Registry of Cardiovascular Disease (Prove), Postgraduate Medical Journal (2018)
39. Long-Term Outcome and Prognostic Value of Angiographic Slow/No-Reflow Phenomenon After Emergency Percutaneous Coronary Intervention for St-Elevation Myocardial Infarction, Coronary Artery Disease (2024)
40. Cardiovascular Disease Risk Prediction Among Iranian Patients With Diabetes Mellitus in Isfahan Province, Iran, in 2014, by Using Framingham Risk Score, Atherosclerotic Cardiovascular Disease Risk Score, and High-Sensitive C-Reactive Protein, ARYA Atherosclerosis (2018)
41. The Relation Between the Mean Time Interval of Opening of Aortic Cross Clamp to the End of Cardiopulmonary Bypass With Surgical Results of Patient After Coronary Artery Bypass Grafting Surgery, Journal of Isfahan Medical School (2017)
42. Comparison of Models for Predicting Outcomes in Patients With Coronary Artery Disease Focusing on Microsimulation, International Journal of Preventive Medicine (2012)
43. Absolute Mortality Risk Assessment of Covid-19 Patients: The Khorshid Covid Cohort (Kcc) Study, BMC Medical Research Methodology (2021)
44. Detrimental Predictive Effect of Metabolic Syndrome on Postoperative Complications in Patients Who Undergoing Coronary Artery Bypass Grafting, Acta Biomedica (2015)
45. Electrocardiographic Findings and Prognostic Values in Patients Hospitalised With Covid-19 in the World Heart Federation Global Study, Heart (2023)
46. Evaluating the Relative Frequency and Predicting Factors of Acute Renal Failure Following Coronary Artery Bypass Grafting, ARYA Atherosclerosis (2013)
47. Prognostic Utility of Shock Index and Modified Shock Index on Long-Term Mortality in Acute Decompensated Heart Failure; Persian Registry of Cardiovascular Disease/Heart Failure (Prove/Hf) Study, Acta Cardiologica (2023)
48. Predicting Factors of Short-Term Survival in Patients With Acute Myocardial Infarction in Isfahan Using a Cox Regression Model, Iranian Journal of Epidemiology (2012)
49. Predictive Value of P-Wave Duration and Dispersion in Post Coronary Artery Bypass Surgery Atrial Fibrillation, ARYA Atherosclerosis (2012)
50. Comparison Between European and Iranian Cutoff Points of Triglyceride/High-Density Lipoprotein Cholesterol Concentrations in Predicting Cardiovascular Disease Outcomes, Journal of Clinical Lipidology (2016)