MDCalc

European System for Cardiac Operative Risk Evaluation (EuroSCORE) II

Predicts risk of in-hospital mortality after major cardiac surgery.

Patient factors

years

Sex

Insulin-dependent diabetes mellitus

Chronic pulmonary dysfunction

Neurological or musculoskeletal dysfunction severely affecting mobility

Creatinine clearance

Critical preop state

≥1 of the following in the same hospital admission as the operation: ventricular tachycardia or fibrillation or aborted sudden death; cardiac massage; ventilation before arrival to ; inotropes; or before arrival to OR; acute renal failure, defined as anuria or oliguria <10 mL/hr

Cardiac-specific factors

NYHA class

CCS class 4

Inability to perform any activity without angina or angina at rest

Extracardiac arteriopathy

≥1 of the following: claudication; carotid occlusion or >50% stenosis ( criteria); amputation for arterial disease; previous or planned intervention on abdominal aorta, limb arteries, or carotids

Previous cardiac surgery

≥1 previous major cardiac operation involving opening the pericardium

Active endocarditis

i.e., on antibiotics for endocarditis at time of surgery

function or

Recent

≤90 days before operation

Pulmonary artery systolic pressure, mm Hg

Procedural factors

Urgency

“Weight” of procedure

i.e., extent of intervention

Thoracic aorta surgery

Result:

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Advice
  • May inform adjustments in preoperative management, surgical approach, or postoperative care to mitigate identified risks.
  • Consider consultations with other specialties based on the risk assessment to optimize patient outcomes.
  • Risk scores only provide a starting point in estimating morbidity and mortality. Ensure that other clinical variables, which may not be included in this tool, are also considered in preoperative assessments and planning.
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