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Heart 2008;94:1366-1369; doi:10.1136/hrt.2007.117721
Copyright © 2008 BMJ Publishing Group Ltd & British Cardiovascular Society

EDITORIALS

Assessing the risks of percutaneous coronary intervention: do we have an equivalent of the EuroSCORE?

Peter F Ludman

Correspondence to:
Dr P F Ludman, University Hospital Birmingham, Edgbaston, Birmingham B15 2TH, UK; peter.ludman@uhb.nhs.uk

The first 150 words of the full text of this article appear below.

The European System for Cardiac Operation Risk Evaluation (EuroSCORE) has been a remarkably successful and widely adopted tool to predict early postoperative mortality in patients undergoing cardiac surgery. Why has it been so ubiquitous, when there have been many other surgical risk scoring systems developed?1 2 Its authors, Nashef, Roques and Michel, set out in the mid-1990s to generate a surgical risk assessment tool that could be used at the bedside, that had relatively objective criteria for risk factor measurement, and was based on a large and heterogeneous group of patients for whom a very "clean" dataset existed.3 At a time when easy access to computing on the ward was rare, the ability to generate a score without recourse to solving exponential equations was a big bonus. At that time the other major scoring system in the United States was based on the Society of Thoracic Surgeons database. This was kept . . . [Full text of this article]


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