This is an unprecedented time. It is the dedication of healthcare workers that will lead us through this crisis. Thank you for everything you do.

      Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

    Disease

    Select...

    Specialty

    Select...

    Chief Complaint

    Select...

    Organ System

    Select...

    Patent Pending

    Save your unit preferences in settings!

    European System for Cardiac Operative Risk Evaluation (EuroSCORE) II

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

    Do you use the EuroSCORE II and want to contribute your expertise? Join our contributor team!

    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
    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:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights
    Dr. Samer A. M. Nashef

    About the Creator

    Samer A. M. Nashef, MB ChB, FRCS, PhD, is a cardiothoracic surgeon at the Papworth Hospital in Cambridge, UK. Dr. Nashef’s primary research is focused on atrial fibrillation and risk stratification in cardiac surgery.

    To view Dr. Samer A. M. Nashef's publications, visit PubMed

    Are you Dr. Samer A. M. Nashef? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Dr. Samer A. M. Nashef
    Are you Dr. Samer A. M. Nashef?