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Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Komarov R.N.

Clinic for Aortic and Cardiovascular Surgery, I.M. Sechenov First Moscow State Medical University

Gerasimov A.N.

Sechenov First Moscow State Medical University, Moscow, Russia

Alekseev I.A.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Vikent’yev V.V.

Chair of Cardiovascular Surgery and Interventional Cardiology (head — acad.of RAS Yu.V. Belov), acad. B.V. Petrovskiy Russian Research Centre of Surgery, Chair of Medical Informatics and Statistics (head — prof. A.N. Gerasimov) of I.M. Sechenov First Moscow State Medical University

Shapieva A.N.

Chair of Medical Informatics and Statistics, B.V. Petrovsky Russian Research Center of Surgery, Moscow, Russia

Isaev R.M.

Chair of Cardiovascular Surgery and Interventional Cardiology (head — acad.of RAS Yu.V. Belov), acad. B.V. Petrovskiy Russian Research Centre of Surgery, Chair of Medical Informatics and Statistics (head — prof. A.N. Gerasimov) of I.M. Sechenov First Moscow State Medical University

EuroSCORE model ARCH: ICU-stay duration prognosis after aortic arch surgery

Authors:

Belov Yu.V., Komarov R.N., Gerasimov A.N., Alekseev I.A., Vikent’yev V.V., Shapieva A.N., Isaev R.M.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2016;9(2): 35‑45

DOI: 10.17116/kardio20169235-45

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Table of contents

EUROSCORE MODEL ARCH: ICU-STAY DURATION PROGNOSIS AFTER AORTIC ARCH SURGERY
EUROSCORE MODEL ARCH: ICU-STAY DURATION PROGNOSIS AFTER AORTIC ARCH SURGERY

To cite this article:

Belov YuV, Komarov RN, Gerasimov AN, Alekseev IA, Vikent’yev VV, Shapieva AN, Isaev RM. EuroSCORE model ARCH: ICU-stay duration prognosis after aortic arch surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2016;9(2):35‑45. (In Russ.)
https://doi.org/10.17116/kardio20169235-45

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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Aim. To develop prognostic scale of intensive care unit (ICU) stay over 5 days after aortic arch surgery based on retrospective analysis of patients. Material and methods. From November 1998 to September 2012 in the department of aortic surgery of Petrovsky Russian Research Center of Surgery 71 patients with aortic arch aneurysm were examined and operated. We have analyzed 134 potential risk factors including 73 from EuroSCORE scale and 41 additional specific for aortic arch surgery in order to predict duration of ICU-stay over 5 days. This scale was called EuroSCORE model ARCH. Results. Multivariate analysis found that preoperative duration of systole (QT), resternotomy and index of left ventricular end-systolic volume (LV iESV) may be used to predict duration of ICU-stay over 5 days after aortic arch surgery. Patient’s severity index (IS) was calculated using following formula «IS = –1.421 + 4.9429 ∙ «QT» + 0.402 ∙ «resternotomy» + –0.00786 ∙ «LV iESV». In this formula resternotomy = 1 if it was present after surgery and resternotomy = 0 otherwise. Greater index of severity was associated with more probable ICU-stay over 5 days. Index of severity 0.2; 0.2 - 0.55; over 0.55 corresponds to 0.00%, 26.67%, 90.00% probability of ICU-stayover 5 days respectively. Conclusion. EuroSCORE model ARCH scale may be used to predict ICU-stay duration over 5 days after aortic arch surgery (ROC - curve of death prediction 90.2%).

Keywords:

risk factors
risk stratification scale
aortic arch
surgical risk
EuroSCORE

Authors:

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Komarov R.N.

Clinic for Aortic and Cardiovascular Surgery, I.M. Sechenov First Moscow State Medical University

Gerasimov A.N.

Sechenov First Moscow State Medical University, Moscow, Russia

Alekseev I.A.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Vikent’yev V.V.

Chair of Cardiovascular Surgery and Interventional Cardiology (head — acad.of RAS Yu.V. Belov), acad. B.V. Petrovskiy Russian Research Centre of Surgery, Chair of Medical Informatics and Statistics (head — prof. A.N. Gerasimov) of I.M. Sechenov First Moscow State Medical University

Shapieva A.N.

Chair of Medical Informatics and Statistics, B.V. Petrovsky Russian Research Center of Surgery, Moscow, Russia

Isaev R.M.

Chair of Cardiovascular Surgery and Interventional Cardiology (head — acad.of RAS Yu.V. Belov), acad. B.V. Petrovskiy Russian Research Centre of Surgery, Chair of Medical Informatics and Statistics (head — prof. A.N. Gerasimov) of I.M. Sechenov First Moscow State Medical University

List of references:

  1. Belov YU.V., Isaev R.M. Risk Stratification in Cardiovascular Surgery. KHirurgiya. 2014;7:78-81. (In Russian)
  2. Asimakopoulos G, Al-Ruzzeh S, Ambler G, Omar RZ, Punjabi P, Amrani M, Taylor KM. An evaluation of existing risk stratification models as a tool for comparison of surgical performances for coronary artery bypass grafting between institutions. European Journal of Cardio-thoracic surgery. 2003;23:935-942.
  3. Barmettler H, Immer FF, Berdat AP, Eckstein FS, Kipfer B, Carrel TP. Risk stratification in thoracic aortic surgery: should the EuroSCORE be modified? Eur J Cardiothorac Surg. 2004;25(5):691-695.
  4. Bavaria Joseph, Prashanth Vallabhajosyula, Moeller P, Wilson Szeto,Nimesh Desai, Pochettino A. Hybrid approaches in the treatment of aortic arch aneurysms: Postoperative and midterm outcomes. J Thorac Cardiovasc Surg. 2013;145:S85- S90.
  5. Abraham ChZ, Lioupis Ch. Treatment of aortic arch aneurysms with a modular transfemoral multibranched stent- graft: Initial experience. J Thorac Cardiovasc Surg. 2013;145:S110-S117.
  6. Joseph CS, Lemaire SA. Aortic arch surgery: principles strategies and outcomes. Blackwell Publishing Ltd. 2008;187-192.
  7. De Bakey ME, Cooley DA, Crawford ES, et. al. Successful resection of fusiform aneurysm of aortic arch replacement by homograft. Surg Gynecol Obstet. 1957;105:656-664.
  8. Di Eusanio M, Schepens MA, Morshuis WA, et al. Brain protection using antegrade selective cerebral perfusion: amulticenter study. Ann Thorac Surg. 2003;76:1181-1188.
  9. Emmanuel Moss, Puskas JD, Thourani VH, Kilgo P, Chen EP, Leshnower BG,Omar M L, Guyton RA, Glas KE, Halkos ME. Avoiding aortic clamping during coronary artery bypass grafting reduces postoperative stroke. J Thorac Cardiovasc Surg. 2015;149:S175-S180.
  10. Gabrielle F, Roques F, Michel P, Bernard A, de Vicentis C, Roques X, Brenot R, Baudet E, David M. Isthe Parsonnet’s score a goodpredictive score of mortality in adult cardiac surgery: assessment by aFrench multicentre study. Eur J Cardiothorac Surg. 1997;11:406-414.
  11. Oakes GH, Feindel Ch, Purdham DM, Tu JV, Wang J, Kingsbury K. Report on adult cardiac surgery in ONTARIO. Cardiac care Network of Ontario in collaboration with Institute for Clinical Evaluative Sciences (Toronto, Ontario). 2012;1- 21.
  12. Chau KH, Friedman T, Tranquilli M, Elefteriades JA. Deep hypothermic circulatory arrest effectively preserves neurocognitive function. Ann Thorac Surg. 2013;96:1553-1559.
  13. Kawachi Y, Nakashimo A, Toshimo Y, Arinage K, Kawano H. Risk stratification analysis of operative mortality in heart and thoracic aorta surgery: comparison between Parsonnet and EuroSCORE additive model. Eur J Cardiothorac Surg. 2001;20(5):961-967.
  14. Kenji Okado, Atsushi Omura, Hiroya Kano, Takeshi Inoue, Takanori Oka, Hitoshi Minami, Yutaka Okita. Effect of atherothrombotic aorta on outcome of total aortic arch replacement. J Thorac Cardiovasc Surg. 2013;145:984-991.
  15. Kimiyoshi J, Kobayashi BS, Jason A, Williams MD, Nwakanma LU, Weiss ES, Gott VL, Baumgartner WA, Conte JV. EuroSCORE predicts short- and midterm mortality in combined aortic valve replacement and coronary artery bypass patients. J Card Surg. 2009;24:637-643.
  16. Koulligas GJ, Wheatley GH III. State-of-the art of hybrid procedures for the aortic arch: a meta-analysis. Ann Thorac Surg. 2010;90:689-697.
  17. Halkos ME, Liberman HA, Devireddy Ch, Valker P, Finn AV, Jaber W, Guyton RA, Puskas JD. Early clinical and angiographic outcomes after robotic assisted coronary artery bypass surgery. J Thorac Cardiovasc Surg. 2014;147:179- 185.
  18. Brown ML, Schaff HV, Sarano ME, Zhuo Li, Thoralf M. Sundt, Dearani JA, Mullany CJ, Orszulak TA, Is the European System for Cardiac Operative Risk Evaluation model valid for estimating the operative risk of patients considered for percutaneous aortic valve replacement? J Thorac Cardiovasc Surg. 2008;148:3049-3057.
  19. Cheshire N, Bicknell C. Thoracic endovascular aortic repair: The basics. J Thorac Cardiovasc Surg. 2013;145:S149- S153.
  20. Piazza N, Wenaweser P, Menno van Gameren, Thomas Pilgrim, ApostolosTsikas, Amber Otten, Rutger Nuis, Yoshinobu Onuma, Jin Ming Cheng, Kappetein AP, Boersma E, Juni P, , Peter de Jaegere, Windecker P, Serruys PW. Relationship between the logistic EuroSCORE and the Society of Thoracic Surgeons Predicted Risk of Mortality score in patients implanted with the Core Valve ReValving System - A Bern-Rotterdam Study. American heart journal. 2010;159:323-329.
  21. Noyez L, Kievit PC, van Swieten HA, de Boer MJ. Cardiac operative risk: The EuroSCORE II, does it make a real difference? Neth Heart J. 2012;20:494-498.
  22. Michel P, Roques F, Nashef SAM. Logistic or additive EuroSCORE for high-risk patients. European Journal of Cardio- thoracic surgery. 2003;23:684-687.
  23. Guida P, Mastro F, Scrascia G, Whitlock R, Paparella D. Performance of the European System for Cardiac Operative Risk Evaluation II: A metaanalysis of 22 studies involving 145 592 cardiac surgery procedures. J Thorac Cardiovasc Surg. 2014;148:3049-3057.
  24. Randall B. Griepp, Gabriele Di Luozzo. Hypothermia for aortic surgery. J Thorac Cardiovasc Surg. 2013;145:S56-S58.
  25. Roques F, Nashef SA, Michel P, Gauducheau E, de Vincentiis C, Baudet E, Cortina J, David M, Faichney A, Gabrielle F, Gams E, Harjula A, Jones MT, Pintor PP, Salamon R, Thulin L. Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19 030 patients. Eur J Cardiothorac Surg. 1999;15:816-823.
  26. LeMaire SA, Price MD, Parenti JL, Johnson ML, Lay AD, Preventza O, Huh J, Cosell JS. Early outcomes after aortic arch replacement by using the Y-graft technique. Ann Thorac Surg. 2011;91:700-708.
  27. Strauch JT, Spielvogel D, Lauten A, et al. Technical advances in total aortic arch replacement. Ann Thorac Surg. 2004;77:581-589.
  28. Takahiro Nishida, Munetaka Masuda, Yukihiro Tomita, Shigehiko Tokunage, Yoshihisa Tanoue, Akira Shiose, Shigeki Morita, Ryuji Tominaga. The logistic EuroSCORE predicts the hospital mortality of the thoracic aortic surgery in consecutive 327 Japanese patients better than the additive EuroSCORE. Eur J Cardiothorac Surg. 2006;30:578-583.
  29. Yoshihiko Yokoi, Takashi Azuma, Yamazaki K. Advantage of a precurved fenestrated endograft for aortic arch disease: Simplified arch aneurysm treatment in Japan 2010 and 2011. J Thorac Cardiovasc Surg. 2013;145:S103-S109.
  30. Yutaka Okita, Kenji Okado, Atsushi Omura, Hiroya Kano, Hitoshi Minami, Takeshi Inoue, Shunsuke Miyahara. Total arch replacement usingantegrade cerebral perfusion. J Thorac Cardiovasc Surg. 2013;145:S63-S71.

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