Comparison of Euro SCORE II and ACS NSQIP as Risk Assessment Scores in Coronary Artery Bypass Surgery Patients

Author(s):

Avaneesh Sandupatla, Hemanth Kumar A, Richa Malik, Sudarshan Reddy, Venkappa S. Mantur, Arun Kumar and Munir Ahmad Khan*

Introduction: Cardiovascular Diseases (CVSs) have become the leading cause of death in India over the last century. This epidemiological shift is primarily due to an increase in the prevalence of CVSs and CVD risk factors in India. Cardiac surgeries are among the high risk surgeries and associated with mortality and morbidity. Euro SCORE and ACS NSQIP (American College of Surgeon and National Surgical Quality Improvement Program) is useful for predicting mortality associated with surgery.

Methods: The present study was carried out in consecutive 206 patients. The study was carried out in adult patients who were scheduled to undergo coronary artery bypass surgery.

Results: Both ACS NSQIP score and EuroSCORE II were reasonably successful in assessing this risk, but their performance was to some extent less predictive than that reported for the overall cardiac surgical population, with the ACS NSQIP more consistently better in predicting the risk than the EuroSCORE II.

Conclusion: Our study showed better discrimination and calibration with the ACS NSQIP scoring system in comparison with Euro SCORE II.