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Comparison of EuroSCORE II with EuroSCORE in Cardiac Surgical Patients in a Tertiary Level Teaching Hospital in Nepal

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creativeworkseries.issnISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
dc.contributor.authorPradhan, Bishwas
dc.contributor.authorBastola, Priska
dc.contributor.authorBasnet, Madindra B
dc.contributor.authorShrestha, Bibhush
dc.contributor.authorSigdel, Shailendra
dc.contributor.authorGurung, Arjun
dc.date.accessioned2026-04-02T05:36:20Z
dc.date.available2026-04-02T05:36:20Z
dc.date.issued2020
dc.descriptionBishwas Pradhan, Priska Bastola, Madindra B Basnet, Bibhush Shrestha, Shailendra Sigdel, Arjun Gurung Department of Cardiothoracic and Vascular Anesthesiology, Maharajgunj Medical Campus, Manmohan Cardiothoracic Vascular and Transplant Center, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
dc.description.abstractABSTRACT Introduction: European System for Cardiac Operative Risk Evaluation (EuroSCORE) is the standard tool for risk stratification of patients undergoing cardiac surgery. Its relevance has been validated in European, Asian countries and also in Nepal. Its limitations led to development of EuroSCORE II. This study was carried out to compare EuroSCORE II with EuroSCORE in Nepalese cardiac surgical patients. Methods: A retrospective analytical cohort study of 3 years duration in 972 adult cardiac surgeries was conducted. Scores obtained from EuroSCORE (Logistic and Additive) and EuroSCORE II was compared with the observed mortality. Calibration was calculated by Hosmer- Lemeshow (H-L) test (Chi Square test) and discrimination by calculating the area under the curve (AUC) of receiver operating characteristics (ROC) curve. Results: Observed mortality was 4.11%. EuroSCORE additive, logistic and EuroSCORE II predicted mortality were 4.32%, 4.55% and 2.13% respectively. H-L chi square calculation for EuroSCORE additive model could not hold as all observed and expected frequencies match exactly. Hence it can be considered as a good fit. EuroSCORE logistic model (H-L, Chi-square 7.743, p<0.001) and EuroSCORE II (H-L, Chi-square 11.631, p = 0.168) also showed good fit i.e. both can predict mortality satisfactorily. AUC of ROC curve of EuroSCORE additive, logistic and EuroSCORE II were 0.632, 0.636 and 0.616 respectively, which showed fair discrimination power. Conclusion: Mortality prediction of adult cardiac surgical patients by EuroSCORE (additive and logistic) and EuroSCORE II was satisfactory. Keywords: Additive, cardiac surgical, EuroSCORE, logistic
dc.identifierhttps://doi.org/10.59779/jiomnepal.1102
dc.identifier.urihttps://hdl.handle.net/20.500.14572/5565
dc.language.isoen_US
dc.publisherInstitute of Medicine
dc.subjectAdditive
dc.subjectcardiac surgical
dc.subjectEuroSCORE
dc.subjectlogistic
dc.titleComparison of EuroSCORE II with EuroSCORE in Cardiac Surgical Patients in a Tertiary Level Teaching Hospital in Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage9
oaire.citation.startPage5
relation.isJournalIssueOfPublication6dcbf166-09e2-415e-9156-dc13340873fb
relation.isJournalIssueOfPublication.latestForDiscovery6dcbf166-09e2-415e-9156-dc13340873fb
relation.isJournalOfPublicationa9ba45d9-ee33-4a6b-b1fc-6626b87eec6c

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