Survival after CABG--better than predicted by EuroSCORE and equal to the general population

Scand Cardiovasc J. 2009 Apr;43(2):123-8. doi: 10.1080/14017430802354085.

Abstract

Objectives: Examine short- and intermediate-term survival after coronary artery bypass grafting (CABG) and compare this to survival of the general population and to that predicted by EuroSCORE.

Design: One thousand three hundred and fifty one consecutive patients undergoing CABG were prospectively included. Survival status was ascertained through the Norwegian National Registry.

Results: Compared to the general population, no statistical significant difference in survival was seen in operated patients. Overall mortality rate was 0.8% after 30 days, 2.8%, 4.0% and 7.1% at one, two and three years, respectively. When patients were divided into four groups according to EuroSCORE, mortality increased significantly with increasing score, as expected. However, EuroSCORE overestimated mortality.

Conclusion: Patients operated with CABG at our institution have similar survival as in the general Norwegian population. Although overestimating mortality by almost five-fold, we found a strong association between EuroSCORE and short-time survival, and an association between EuroSCORE and intermediate-term survival.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Coronary Artery Bypass / mortality*
  • Coronary Artery Disease / mortality*
  • Coronary Artery Disease / surgery*
  • Female
  • Health Status Indicators*
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Norway / epidemiology
  • Proportional Hazards Models
  • Prospective Studies
  • Registries
  • Risk Assessment
  • Time Factors
  • Treatment Outcome