CABG surgery is the commonest cardiac surgery done world wide .Right from the days of CASS study the CABG was considered a major traumatic surgery to relive a small block in a coronary artery (Not exactly relief . . .it just by-passes )
However , for more than two decades till early 1990s CABG ruled supreme.Ever since coronary stenting grew in an exponential fashion the outcome of CABG needed scrutiny .Surgeons had a compulsion to explain the world , CABG indeed has a acceptable risk benefit ratio in the management of CAD .
Thus came the EUROSCORE . First developed in 1995 .The initial score used a simple additive risk next it was modified
with logistic regression .
Limitations
Can you withhold a surgery on the basis of high EUROSCORE ?
Is it scientifically validated ?
EUROSCORE gives us 30day mortality
What is the acceptable EUROSCORE for CABG?
http://ejcts.oxfordjournals.org/content/early/2012/02/28/ejcts.ezs043.abstract
Click to access 1749-8090-4-32.pdf
What is the major limitation for EURO-SCORING system ?
It is ironical the most important determinant of any surgery is the surgeon’s competence and institutional expertise in handling emergencies and financial affordability .They are not included in the scoring . This makes the EUROSCORE in most of the developing countries including India a futility .
Dr.S.Venkatesan MD 