Is EuroSCORE II better than EuroSCORE in predicting mortality after transcatheter aortic valve implantation?

Yusuke Watanabe, Kentaro Hayashida, Thierry Lefèvre, Bernard Chevalier, Thomas Hovasse, Mauro Romano, Philippe Garot, Arnaud Farge, Patrick Donzeau-Gouge, Erik Bouvier, Bertrand Cormier, Marie Claude Morice

Research output: Contribution to journalReview article

35 Citations (Scopus)

Abstract

Objectives The purpose of this study was to examine the performance of the European system for cardiac operative risk evaluation II (ESII) in patients undergoing transcatheter aortic valve implantation (TAVI). Background The ESII was developed recently to improve the predictive value of the original logistic EuroSCORE (LES). Methods Between October 2006 and November 2011, 453 consecutive patients with severe aortic stenosis undergoing TAVI with either the Edwards valve or the Corevalve were included in the current analysis. The performance of the ESII, LES, and society of thoracic surgeons predicted risk of mortality score (STS) was evaluated. Results Mean age was 83.1 ± 6.4 years. The Edwards valve was used in 382 patients (84.3%) of the cohort, transfemoral approach (TF) in 55.0%, transapical approach (TA) in 25.2%, transaortic approach (TAo) 17.8%, transsubclabian approach (SC) 2.0%. The observed 30-day mortality was 12.6% (11.2, 18.4, 7.4, and 22.2% for TF, TA, TAo, SC, respectively). The mean LES, STS, and ESII were 22.4 ± 12.1, 8.1 ± 6.0, and 8.1 ± 5.2, respectively. The Hosmer-Lemeshow test showed ESII was inadequately calibrated for 30-day mortality compared with other risk scores (ESII P = 0.09, LES P = 0.84, STS P = 0.34). By using the area under the receiver operating characteristic curve (AUC), ESII better predicted 30-day mortality, albeit poorly, compared to LES and STS (AUC = 0.68, 0.65, and 0.60, respectively). In the TF cohort, ESII was better in predicting 30-day mortality compared to LES and STS (AUC = 0.74, 0.61, 0.60, respectively). Conclusions Although the ESII demonstrated better predictive performance especially in the TF cohort, ESII is still inadequate in predicting mortality after TAVI as are LES and STS.

Original languageEnglish
Pages (from-to)1053-1060
Number of pages8
JournalCatheterization and Cardiovascular Interventions
Volume81
Issue number6
DOIs
Publication statusPublished - 2013 May 1

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Keywords

  • EuroSCORE II
  • STS score
  • logistic EuroSCORE
  • mortality
  • transcatheter aortic valve implantation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Watanabe, Y., Hayashida, K., Lefèvre, T., Chevalier, B., Hovasse, T., Romano, M., Garot, P., Farge, A., Donzeau-Gouge, P., Bouvier, E., Cormier, B., & Morice, M. C. (2013). Is EuroSCORE II better than EuroSCORE in predicting mortality after transcatheter aortic valve implantation? Catheterization and Cardiovascular Interventions, 81(6), 1053-1060. https://doi.org/10.1002/ccd.24702