Background: Risk scores for cardiac surgery cannot continue to be neglected. Objective: To assess the performance of “Age, Creatinine and Ejection Fraction Score” (ACEF Score) to predict mortality in patients submitted to elective coronary artery bypass graft and/or heart valve surgery, and to compare it to other scores. Methods: A prospective cohort study was carried out with the database of a Brazilian tertiary care center. A total of 2,565 patients submitted to elective surgeries between May 2007 and July 2009 were assessed. For a more detailed analysis, the ACEF Score performance was compared to the InsCor’s and EuroSCORE’s performance through correlation, calibration and discrimination tests. Results: Patients were stratified into mild, moderate and severe for all models. Calibration was inadequate for ACEF Score (p = 0.046) and adequate for InsCor (p = 0.460) and EuroSCORE (p = 0.750). As for discrimination, the area under the ROC curve was questionable for the ACEF Score (0.625) and adequate for InsCor (0.744) and EuroSCORE (0.763). Conclusion: Although simple to use and practical, the ACEF Score, unlike InsCor and EuroSCORE, was not accurate for predicting mortality in patients submitted to elective coronary artery bypass graft and/or heart valve surgery in a Brazilian tertiary care center.
CITATION STYLE
Mejía, O. A. V., Matrangolo, B. L. R., Titinger, D. P., de Faria, L. B., Dallan, L. R. P., Galas, F. R. B., … Jatene, F. B. (2015). Age, creatinine and ejection fraction score no Brasil: Comparação com o InsCor e o EuroSCORE. Arquivos Brasileiros de Cardiologia, 105(5), 450–456. https://doi.org/10.5935/abc.20150101
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