European System for Cardiac Operative Risk Evaluation (EuroSCORE) II
Predicts risk of in-hospital mortality after major cardiac surgery.
When to Use
Patient factors
years
Male
Female
No
Yes
No
Yes
No
Yes
>85 mL/min
51-85 mL/min
≤50 mL/min
On dialysis (regardless of serum creatinine)
No
Yes
Cardiac-specific factors
Class I: no symptoms on moderate exertion
Class II: symptoms on moderate exertion
Class III: symptoms on light exertion
Class IV: symptoms at rest
No
Yes
No
Yes
No
Yes
No
Yes
Good (LVEF ≥51%)
Moderate (LVEF 31-50%)
Poor (LVEF 21-30%)
Very poor (LVEF ≤20%)
No
Yes
<31
31-54
≥55
Procedural factors
Elective: routine admission for operation
Urgent: not electively admitted for operation but require surgery on current admission for medical reasons and cannot be discharged without definitive procedure
Emergency: operation before the beginning of the next working day after the decision to operate
Salvage: patients requiring CPR (external) en route to the OR or before induction of anesthesia (excludes CPR after induction of anesthesia)
Isolated CABG
Isolated non-CABG major procedure (e.g. single valve procedure, replacement of ascending aorta, correction of septal defect, etc)
2 major procedures (e.g. CABG and AVR), or CABG and mitral valve repair (MVR), or AVR and replacement of ascending aorta, or CABG and maze procedure, or AVR and MVR, etc
≥3 major procedures (e.g. AVR, MVR, and CABG, or MVR, CABG, and tricuspid annuloplasty, etc), or aortic root replacement when it includes AVR or repair, coronary reimplantation, and root and ascending replacement
No
Yes
Result:
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