Performance of the EuroSCORE in coronary artery bypass graft in Colombia, a middle-income country: A retrospective cohort

doi:10.4330/wjc.v17.i3.100506

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Mar 26, 2025 (publication date) through Mar 21, 2025

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World Journal of Cardiology

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1949-8462

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Cardiol. Mar 26, 2025; 17(3): 100506
Published online Mar 26, 2025. doi: 10.4330/wjc.v17.i3.100506

Table 1 Clinical and demographic characteristics, n (%)

Variables	n = 1009	Dead (n = 56)	Alive (n = 953)	P value
Demographic
Age (years)	66 (59-72)	71 (66.75-76)	65 (59-72)	1.02E-06
Men	789 (78.2)	38 (4.82)	751 (95.18)	0.065912879
Women	220 (21.8)	18 (8.18)	202 (91.81)	0.065912879
Weight (kg)	70 (64-77)	66.5 (60-77.25)	70 (64-77)	0.087848882
Height (kg)	165 (160-170)	163.5 (157.75-167)	165 (160-170)	0.014706242
BMI (kg/m²)	25.64 (23.66-27.91)	25.7 (23.3-29.08)	25.6 (23.6-27.8)	0.97572124
Preoperative state
Hypertension	733 (72.6)	51 (6.95)	682 (93.04)	0.000978778
DM2	317 (31.4)	20 (6.3)	297 (93.69)	0.462958515
Hypothyroidism	262 (25.9)	17 (6.48)	245 (93.51)	0.435604718
Smoking	270 (26.76)	11 (4.07)	259 (95.92)	0.27657479
COPD	86 (8.5)	5 (5.81)	81 (94.18)	0.80753188
Chronic kidney failure	119 (11.79)	15 (12.60)	104 (87.4)	0.001910342
Dyslipidemia	369 (36.57)	14 (3.79)	355 (96.20)	0.08571374
Peripheric arterial disease	27 (2.6)	4 (14.81)	23 (85.18)	0.057502526
Stroke	35 (3.47)	2 (5.71)	33 (94.28)	1
Obesity	159 (15.76)	9 (5.66)	150 (94.33)	1
LVEF	50 (41-57)	45.5 (34.7-55)	50 (42-57)	0.017315231
EuroSCORE II	1.29 (0.92-2.11)	1.095 (0.88-1.84)	1.31 (0.92-2.11)	0.156214191
RAMI	4.26 (2.60-5.97)	5.023 (2.99-6.25)	4.19 (2.60-5.97)	0.15
Preoperatory diagnosis
Unstable angina	145 (14.37)	6 (4.13)	139 (95.86)	0.511744128
Stable angina	78 (7.73)	2 (2.56)	76 (97.43)
NSTEMI	546 (54.11)	34 (6.22)	512 (93.77)
STEMI	193 (19.13)	13 (6.73)	180 (93.26)
Other	47 (4.66)	1 (2.12)	46 (97.87)
Catheterization
Compromised vessels
1	30 (2.97)	0	30 (100)	0.88005997
2	162 (16.06)	10 (6.17)	152 (93.82)
3	634 (62.83)	36 (5.68)	598 (94.32
4	169 (16.75)	10 (5.92)	159 (94.08)
5	8 (0.079)	0	8 (100)
6	6 (0.059)	0	6 (100)
Truncus	232 (22.99)	12 (5.17)	220 (94.83)	0.87104455
Anterior descendent artery	994 (98.51)	56 (5.63)	938 (94.37)	1
Circumflex artery	809 (80.18)	47 (5.80)	762 (94.19)	0.604726597
Right coronary artery	799 (79.19)	47 (5.88)	752 (94.12)	0.497455644
Ramus intermedius artery	72 (7.14)	4 (5.56)	68 (94.44)	1
Surgery
Elective surgery	122 (12.09)	0	122 (100)	0.0010764
Urgent surgery	881 (87.31)	54 (6.13)	827 (93.87)	0.036471079
Emergency surgery	46 (4.56)	6 (13.04)	40 (86.96)	0.036994832
Conventional (IMA + Saphenous vein)	898 (89)	52 (5.79)	846 (94.21)	0.23838081
Arterial grafts	54 (5.35)	1 (1.85)	53 (98.15)
Venous grafts	29 (2.87)	3 (10.35)	26 (89.65)
Mix	28 (2.78)	0	28 (100)
Complete revascularization	759 (75.22)	37 (4.87)	722 (95.12)	0.111696542
Incomplete revascularization	250 (24.78)	19 (7.6)	231 (92.4)	0.111696542
Perfusion time EC (minutes)	78 (60-93)	81 (65.25-107.25)	78 (60-93)	0.127448435
Aortic clamp time (minutes)	58 (40-74)	54 (36.25-73.5)	58 (40-74)	0.824799635
Postoperative and hospitalization outcomes
Reintervention for bleeding	42 (4.16)	12 (28.57)	30 (71.43)	8.05E-07
POP stroke	22 (2.18)	5 (22.72)	17 (77.28)	0.005604736
POP kidney failure	39 (3.87)	20 (51.28)	19 (48.72)	6.77E-17
Surgical site infection sternum	72 (7.14)	10 (13.89)	62 (86.11)	4.49E-03
Surgical site infection saphenectomy	33 (3.27)	2 (6.06)	31 (93.94)	0.704578221
Mediastinitis	35 (3.47)	11 (31.43)	24 (68.57)	8.56E-07
POP MI	16 (1.59)	6 (37.5)	10 (62.5)	0.000116377
Vascular bridge dysfunction	17 (16.8)	7 (41.18)	10 (58.82)	1.40734E-05
ICU stay (days)	3 (2-5)	6 (2-12)	3 (2-4)	0.000279016
Hospitalization days	7 (5-9)	7.5 (2.75-14)	7 (5-9)	0.840229356
Re-admission	54 (5.35)	4 (7.41)	50 (92.59)	0.534747149
Mortality		56 (5.55)
Cardiac death cause	35 (34.7)			0.00049975
Non cardiac death cause	21 (2.08)			0.00049975

BMI: Body mass index; DM2: Diabetes mellitus 2; COPD: Chronic obstructive pulmonary disease; LVEF: left ventricular ejection fraction; RAMI: Risk-adjusted mortality index; NSTEMI: Non ST segment elevation myocardial infarction; STEMI: ST segment elevation myocardial infarction; IMA: Internal mammary artery; POP: Postoperatory; ICU: Intensive care unit; EC: Extracorporeal circulation.

Table 2 Dead and alive proportions according to EuroSCORE II classification, n (%)

Risk	Dead	Alive	P value	EuroSCORE II	RAMI
Low	45 (6.09)	694 (93.91)	< 0.001	1.08 (0.82-1.42)	5.63
Moderate	5 (3.05)	159 (96.95)		2.6 (2.3-3.2)	1.17
High	4 (5)	76 (95)		5.27 (4.56-5.75)	0.94
Very high	2 (7.69)	24 (92.31)		10.61 (9.39-13.72)	0.72

RAMI: Risk-adjusted mortality index.

Citation: Rodríguez Lima DR, Rodríguez Aparicio EE, Otálora González L, Hernández DC, González-Muñoz A. Performance of the EuroSCORE in coronary artery bypass graft in Colombia, a middle-income country: A retrospective cohort. World J Cardiol 2025; 17(3): 100506
URL: https://www.wjgnet.com/1949-8462/full/v17/i3/100506.htm
DOI: https://dx.doi.org/10.4330/wjc.v17.i3.100506