External validation of EuroSCORE I and II in patients with infective endocarditis: results from a nationwide prospective registry
Both EuroSCORE models demonstrate acceptable discriminative capacity in IE patients. EuroSCORE I consistently overestimates mortality and should not be utilized in endocarditis patients. EuroSCORE II can be used in IE patients up to a predicted probability of approximately 20%, regardless of sex, redo surgery, or age. Beyond this point, the predicted mortality risk should be halved to approach the true mortality risk. EuroSCORE II should not be used for risk prediction in emergency endocarditis surgeries and patients should not be withheld from indicated surgical treatment solely based on high EuroSCOREs.
Authors
- G J F Hoohenkerk
- Otto Kamp
- R G H Speekenbrink
- Edouard L. Fu (ORCID: https://orcid.org/0000-0002-9698-6825)
- Steven A. J. Chamuleau (ORCID: https://orcid.org/0000-0002-9952-6701)
- Yvonne L. Douglas (ORCID: https://orcid.org/0000-0003-2274-8995)
- Cees van Nieuwkoop (ORCID: https://orcid.org/0000-0003-0734-0844)
- Annelot J. L. Peijster (ORCID: https://orcid.org/0000-0002-0201-7047)
- Michelle D. van der Stoel
- Edgar J. Daeter (ORCID: https://orcid.org/0000-0002-6663-7974)
- Sander Bramer
- Wilco Tanis
- Fabiano Porta
- Wim Jan van Boven (ORCID: https://orcid.org/0000-0002-4207-373X)
- Wim Stooker
- Robert J.M. Klautz (ORCID: https://orcid.org/0000-0002-6507-3855)
- B M J A Koene
- Jos A. Bekkers (ORCID: https://orcid.org/0000-0002-0221-9239)
- Niels P. van der Kaaij (ORCID: https://orcid.org/0000-0002-3669-5209)
- W W L Li
- Floris J Heinen (ORCID: https://orcid.org/0000-0003-3000-0151)
- Patrique Segers (ORCID: https://orcid.org/0000-0002-7414-3712)
- A L P Markou
- Arend de Weger (ORCID: https://orcid.org/0000-0002-4190-3156)
- Mohammed-Ali Keyhan-Falsafi
- M. C. Post (ORCID: https://orcid.org/0009-0001-8404-1728)
- Alexander B.A. Vonk
Institutions
- Leiden University Medical Center (NL)
- St. Antonius Ziekenhuis (NL)
- Netherlands Heart Registration (NL)
- Haga Hospital (NL)
- Amsterdam University Medical Centers (NL)
- University of Amsterdam (NL)
Publication Details
- Journal
- European Journal of Cardio-Thoracic Surgery
- Published
- 2024-11-23
- DOI
- https://doi.org/10.1093/ejcts/ezae418
- Citations
- 3
- Primary Topic
- Infective Endocarditis Diagnosis and Management
- Type
- article
- Field-Weighted Citation Impact
- 1.16