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      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

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    Patent Pending

    European System for Cardiac Operative Risk Evaluation (EuroSCORE) II

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

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    Evidence
    Creator Insights

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    About the Creator
    Dr. Samer A. M. Nashef
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