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Risk Assessment

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Advances in Treatments for Aortic Valve and Root Diseases

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Abstract

Every year millions of patients who suffer from valvular heart disease (VHD) undergo a heart surgery. The comorbidity, prior clinical conditions, but also surgery, anesthesia, an intensive post-operative care, so all the perioperative and post-operative procedures have an important prognostic effect on patient morbidity and mortality.

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References

  1. Garfein AJ, Herzog AR. Robust aging among the young-old, old-old, and oldest-old. J Gerontol B Psychol Sci Soc Sci. 1995;50((2):S77–87.

    Article  Google Scholar 

  2. The Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC), European Association for Cardio-Thoracic Surgery (EACTS), Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Barón-Esquivias G, Baumgartner H, Borger MA, Carrel TP, De Bonis M, Evangelista A, Falk V, Iung B, Lancellotti P, Pierard L, Price S, Schäfers HJ, Schuler G, Stepinska J, Swedberg K, Takkenberg J, Von Oppell UO, Windecker S, Zamorano JL, Zembala M. Guidelines on the management of valvular heart disease (version 2012). Eur Heart J. 2012;33:2451–96.

    Article  Google Scholar 

  3. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP III, Guyton RA, O’Gara PT, Ruiz CE, Skubas NJ, Sorajja P, Sundt TM III, Thomas JD. 2014 AHA/ACC Guideline for the management of patients with valvular heart disease a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129(23):2440–92.

    Article  Google Scholar 

  4. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JPIII, Fleisher LA, Jneid H, Mack MJ, McLeod CJ, O’Gara PT, Rigolin VH, Sundt TMIII, Thompson A. AHA/ACC Focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017.; https://doi.org/10.1161/CIR.0000000000000503

  5. Baumgartner H, Hung J, Bermejo J, et al. Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. Eur J Echocardiogr. 2009;10:1–25.

    Article  Google Scholar 

  6. Lancellotti P, Tribouilloy C, Hagendorff A, Moura L, Popescu BA, Agricola E, Monin JL, Pierard LA, Badano L, Zamorano JL, European Association of Echocardiography. European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 1. Aortic and pulmonary regurgitation (native valve disease). Eur J Echocardiogr. 2010;11:223–44.

    Article  Google Scholar 

  7. Rosenhek R, Iung B, Tornos P, et al. ESC Working group on valvular heart disease position paper: assessing the risk of interventions in patients with valvular heart disease. Eur Heart J. 2012;33:822–8.

    Article  Google Scholar 

  8. Debonnaire P, et al. Value of the “TAVI2-SCORe” versus surgical risk scores for prediction of one year mortality in 511 patients who underwent transcatheter aortic valve implantation. Am J Cardiol. 2015;115(2):234–42.

    Article  Google Scholar 

  9. Geissler HJ, Holzl P, Marohl S, Kuhn-Regnier F, Mehlhorn U, Südkamp M, Rainer de Vivie E. Risk stratification in heart surgery: comparison of six score systems. Eur J Cardiothorac Surg. 2000;17(4):400–6.

    Article  CAS  Google Scholar 

  10. Prins C, Jonker DV, Botes L, Smit FE. Cardiac surgery risk-stratification models. Cardiovasc J Afr. 2012;23(3):160–4.

    Article  Google Scholar 

  11. Nashef SAM, Roques F, Sharples LD, Nilsson J, Smith C, Goldstone AR. EuroSCORE II. Eur J Cardiothorac Surg. 2012;41:734–45.

    Article  Google Scholar 

  12. Noyez L, Kievit PC, van Swieten HA, de Boer M-J. Cardiac operative risk evaluation: the EuroSCORE II, does it make a real difference? Neth Heart J. 2012;20:494–8.

    Article  CAS  Google Scholar 

  13. Roques F, Michel P, Goldstone AR, Nashef SA. The logistic EuroSCORE. Eur Heart J. 2003;24(9):882–3.

    Article  Google Scholar 

  14. Clark RE. The STS national database: alive, well, and growing. Ann Thorac Surg. 1991;52(1):5.

    Article  CAS  Google Scholar 

  15. Clark RE. The Society of Thoracic Surgeons National Database status report. Ann Thorac Surg. 1994;57(1):20–6.

    Article  CAS  Google Scholar 

  16. Welke KF, Ferguson TB, Coombs LP, Dokholyan RS, Murray CJ, Schrader MA, Peterson ED. Validity of the society of thoracic surgeons National Adult Cardiac Surgery Database. Ann Thorac Surg. 2004;77(4):1137–9.

    Article  Google Scholar 

  17. Brown JM, Wu C, Sikora JH, Griffith BP, Gammie JS. Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: changes in risks, valve types, and outcomes in the Society of Thoracic Surgeons National Database. J Thorac Cardiovasc Surg. 2009;137:82–90.

    Article  Google Scholar 

  18. Ranucci M, Castelvecchio S, Menicanti L, Frigiola A, Pelissero G. Risk of assessing mortality risk in elective cardiac operations age, creatinine, ejection fraction, and the law of parsimony. Circulation. 2009;119:3053–61.

    Article  Google Scholar 

  19. Ranucci M, Castelvecchio S, Conte M, Megliola G, Speziale G, Fiore F, Guarracino F, Scolletta S, Escobar RM, Falco M, Bignami E, Landoni G. The easier, the better: age, creatinine, ejection fraction score for operative mortality risk stratification in a series of 29,659 patients undergoing elective cardiac surgery. J Thorac Cardiovasc Surg. 2011;142(3):581–6. Epub 2011 Jun 24.

    Article  Google Scholar 

  20. Ranucci M, Pistuddi V, Scolletta S, de Vincentiis C, Menicanti L. The ACEF II Risk Score for cardiac surgery: updated but still parsimonious. Eur Heart J. 2017.; https://doi.org/10.1093/eurheartj/ehx228

    Article  Google Scholar 

  21. Shahian DM, et al. The society of thoracic surgeons risk model for operative mortality after multiple valve surgery (Part 1-2-3). Eur J Cardiothorac Surg. 2013;95(4):1484–90.

    Google Scholar 

  22. Barili F, et al. Does Euroscore II perform better than its original version? A multicentre validation study. Eur Heart J. 2013;34(1):22–9.

    Article  Google Scholar 

  23. Durand E, et al. Performance analysis of Euroscore II compared to the original logistic EuroSCORE and STS scores for predicting 30-day mortality after TAVI. Am J Cardiol. 2013;111(6):891–7.

    Article  Google Scholar 

  24. Stähli B, et al. Early and late mortality in patients undergoing transcatheter aortic valve implantation: comparison of the novel EuroScore II with established risk scores. Cardiology. 2013;126(1):15–23.

    Article  Google Scholar 

  25. Haensig M, et al. Is the new EuroSCORE II a better predictor for transapical aortic valve implantation? Eur J Cardiothorac Surg. 2013;44(2):302–8.

    Article  Google Scholar 

  26. Osnabrugge RL, et al. Performance of EuroSCORE II in a large US database: implications for transcatheter aortic valve implantation. Eur J Cardiothorac Surg. 2014;46(3):400–8.

    Article  Google Scholar 

  27. Biancari F, et al. Meta-analysis on the performance of the EuroSCORE II and the Society of Thoracic Surgeons Scores in patients undergoing aortic valve replacement. J Cardiothorac Vasc Anesth. 2014;28(6):1533–9.

    Article  Google Scholar 

  28. Guida P, Mastro F, Scrascia G, Whitlock R, Paparella D. Performance of the European system for cardiac operative risk evaluation II: a meta-analysis of 22 studies involving 145,592 cardiac surgery procedures. J Thorac Cardiovasc Surg. 2014;148(6):3049–57.e1.

    Article  Google Scholar 

  29. Zbroński K, Huczek Z, Puchta D, Paczwa K, Kochman J, Wilimski R, Scisło P, Rymuza B, Filipiak KJ, Opolski G. Outcome prediction following transcatheter aortic valve implantation: multiple risk scores comparison. Cardiol J. 2016;23(2):169–77.

    Article  Google Scholar 

  30. D’Ascenzo F, Ballocca F, Moretti C, Barbanti M, Gasparetto V, Mennuni M, D’Amico M, Conrotto F, Salizzoni S, Omedè P, Colaci C, Zoccai GB, Lupo M, Tarantini G, Napodanno M, Presbitero P, Sheiban I, Tamburino C, Marra S, Gaita F. Inaccuracy of available surgical risk scores to predict outcomes after transcatheter aortic valve replacement. J Cardiovasc Med (Hagerstown). 2013;14(12):894–8.

    Article  Google Scholar 

  31. Sullivan PG, Wallach JD, Ioannidis JPA. Meta-analysis comparing established risk prediction models (EuroSCORE II, STS Score, And ACEF Score) for perioperative mortality during cardiac surgery. Am J Cardiol. 2016;118(10):1574–82.

    Article  Google Scholar 

  32. Ranucci M. The hidden traps of meta-analyses on cardiac surgery mortality risk scores. Am J Cardiol. 2017;120:337–8.

    Article  Google Scholar 

  33. Tanemoto HFK. Frailty in cardiothoracic surgery: systematic review of the literature. Gen Thorac Cardiovasc Surg. 2015;63:425–33.

    Article  Google Scholar 

  34. Silvay G, Zafirova Z. Ten years experiences with preoperative evaluation clinic for day admission cardiac and major vascular surgical patients: model for “perioperative anesthesia and surgical home”. Semin Cardiothorac Vasc Anesth. 2016;20(2):120–32.

    Article  Google Scholar 

  35. Daabiss M. American society of Anesthesiologists physical status classification. Indian J Anaesth. 2011;55:111–5.

    Article  Google Scholar 

  36. Dupuis J-Y, Wang F, Nathan H, Lam M, Grimes S, Bourke M. The cardiac anesthesia riskevaluation score a clinically useful predictor of mortality and morbidity after cardiac surgery. Anesthesiology. 2001;94:194–204.

    Article  CAS  Google Scholar 

  37. Visser A, Geboers B, Gouma DJ, Goslings JC, Ubbinik DT. Predictors of surgical complications: a systematic review. Surgery. 2015;158:58–65.

    Article  Google Scholar 

  38. Cohen ME, Liu Y, Ko CY, Hall BL. An examination of American College of Surgeons NSQIP surgical risk calculator accuracy. J Am Coll Surg. 2017;224(5):787–795.e1.

    Article  Google Scholar 

  39. Bilimoria KY, Liu Y, Paruch JL, Kmiecik TE, Ko CY, Cohen ME. Development and evaluation of the universal ACS NSQIP surgical risk calculator: a decision aid and informed consent tool for patients and surgeons. J Am Coll Surg. 2013;217(5):833–842.e3.

    Article  Google Scholar 

  40. Charlson M, Szatrowski TP, Peterson J, Gold J. Validation of a combined comorbidity index. J Clin Epidemiol. 1994;47(11):1245–51.

    Article  CAS  Google Scholar 

  41. Tamayo E, Fierro I, Bustamante-Munguira J, Heredia-Rodríguez M, Jorge-Monjas P, Maroto L, Gómez-Sánchez E, Bermejo-Martín FJ, Álvarez FJ, Gómez-Herreras J. Development of the post cardiac surgery (POCAS) prognostic score. Crit Care. 2013;17:R209.

    Article  Google Scholar 

  42. Ranucci M, Ballotta A, Castelvecchio S, Baryshnikova E, Brozzi S, Boncilli A, for the Surgical and Clinical Outcome Research (SCORE) Group. Intensive care unit admission parameters improve the accuracy of operative mortality predictive models in cardiac surgery. PLoS One. 2010;5(10):e13551.

    Article  Google Scholar 

  43. Kotera A, Haga Y, Kei J, Okamoto M, Seo K. Evaluation of estimation of physiologic ability and surgical stress to predict in-hospital mortality in cardiac surgery. J Anesth. 2011;25(4):481–91.

    Article  Google Scholar 

  44. Magruder JT. A predictive model and risk score for unplanned cardiac surgery intensive care unit readmissions. J Card Surg. 2015;30(9):685–90.

    Article  Google Scholar 

  45. Bagnall NM, Faiz O, Darzi A, Athanasiou T. What is the utility of preoperative frailty assessment for risk stratification in cardiac surgery? Interact Cardiovasc Thorac Surg. 2013;17(2):398–402.

    Article  Google Scholar 

  46. Rowe R, Iqbal J, Murali-krishnan R, Sultan A, Orme R, Briffa N, Denvir M, Gunn J. Role of frailty assessment in patients undergoing cardiac interventions. BMJ. 2017;1:e000033.

    Google Scholar 

  47. Mack M. Frailty and aortic valve disease. J Thorac Cardiovasc Surg. 2013;145(3 Suppl):S7–10.

    Article  Google Scholar 

  48. Afilalo J, Mottillo S, Eisenberg MJ, Alexander KP, Noiseux N, Perrault LP, Morin J-F, Langlois Y, Ohayon SM, Monette J, Boivin J-F, Shahian DM, Bergman H. Addition of frailty and disability to cardiac surgery risk scores identifies elderly patients at high risk of mortality or major morbidity. Circ Cardiovasc Qual Outcomes. 2012;5:222–8.

    Article  Google Scholar 

  49. Chen X, Mao G, Leng SX. Frailty syndrome: an overview. Clin Interv Aging. 2014;9:433–41.

    PubMed  PubMed Central  Google Scholar 

  50. Sepehri A, Beggs T, Hassan A, Rigatto C, Shaw-Daigle C, Tangri N, Arora RC. The impact of frailty on outcomes after cardiac surgery: a systematic review. J Thorac Cardiovasc Surg. 2014;148(6):3110–7.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Maria Eleonora Hospital, Palermo-GVM-Care and Research, Palermo, Italy

    Ettore Augugliaro MD

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  1. Ettore Augugliaro MD
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Correspondence to Ettore Augugliaro MD .

Editor information

Editors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, GVM Care and Research, MEH, University of Palermo, Palermo, Italy

    Khalil Fattouch

  2. Department of Cardiology, University of Liège, Liège, Belgium

    Patrizio Lancellotti

  3. Marcus Heart Valve Center, Piedmont Heart Institute, Atlanta, GA, USA

    Mani A. Vannan

  4. Cardiovascular Surgery Department, GVM Care & Research, Anthea Hospital, Bari, Italy

    Giuseppe Speziale

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Augugliaro, E. (2018). Risk Assessment. In: Fattouch, K., Lancellotti, P., Vannan, M., Speziale, G. (eds) Advances in Treatments for Aortic Valve and Root Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-66483-5_26

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  • DOI: https://doi.org/10.1007/978-3-319-66483-5_26

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  • Online ISBN: 978-3-319-66483-5

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