European System for Cardiac Operative Risk Evaluation (EuroSCORE) II

Predicts risk of in-hospital mortality after major cardiac surgery.

Patient factors

Age

years

Sex

Insulin-dependent diabetes mellitus

Chronic pulmonary dysfunction

Neurological or musculoskeletal dysfunction severely affecting mobility

Creatinine clearance

Critical preop state

≥1 of the following in the same hospital admission as the operation: ventricular tachycardia or fibrillation or aborted sudden death; cardiac massage; ventilation before arrival to OR; inotropes; IABP or VAD before arrival to OR; acute renal failure, defined as anuria or oliguria <10 mL/hr

Cardiac-specific factors

NYHA class

CCS class 4

Inability to perform any activity without angina or angina at rest

Extracardiac arteriopathy

≥1 of the following: claudication; carotid occlusion or >50% stenosis (NASCET criteria); amputation for arterial disease; previous or planned intervention on abdominal aorta, limb arteries, or carotids

Previous cardiac surgery

≥1 previous major cardiac operation involving opening the pericardium

Active endocarditis

i.e., on antibiotics for endocarditis at time of surgery

LV function or LVEF

Recent MI

≤90 days before operation

Pulmonary artery systolic pressure, mm Hg

Procedural factors

Urgency

“Weight” of procedure

i.e., extent of intervention

Thoracic aorta surgery

Result:

Please fill out required fields.

Advice

May inform adjustments in preoperative management, surgical approach, or postoperative care to mitigate identified risks.
Consider consultations with other specialties based on the risk assessment to optimize patient outcomes.
Risk scores only provide a starting point in estimating morbidity and mortality. Ensure that other clinical variables, which may not be included in this tool, are also considered in preoperative assessments and planning.

Have feedback about this calculator?