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Saturday, August 01, 2009

Heart Surgery euroSCORE

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".

You are invited to try out both models and to use the one most suitable to your practice.

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