Review of operation risk scores of ischemic heart disease

Piotr Okoński; Maciej Banach; Marcin Barylski; Ryszard Jaszewski; Jacek Rysz; Robert Stolarek; Janusz Zasłonka

Vol 7, No 3 (2005)

Published online: 2005-11-07

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Review of operation risk scores of ischemic heart disease

Piotr Okoński, Maciej Banach, Marcin Barylski, Ryszard Jaszewski, Jacek Rysz, Robert Stolarek, Janusz Zasłonka

Chirurgia Polska 2005;7(3):192-205.

Vol 7, No 3 (2005)

Published online: 2005-11-07

Abstract

Coronary disease is symptomatic of the 21st century lifestyle. The methods for the surgical treatment of coronary disease are still being improved. It allows the expansion of a group of patients qualified to undergo revascularization despite numerous coexisting risk factors. Postoperative prognosis depends primarily on the patient’s condition before surgery as well as the surgical or anesthesiological methods employed. Considering the safety of the surgical treatment of coronary disease, it is unnecessary to design procedures to determine the level of surgical risk with precise risk stratification. Precise risk stratification seems to have advantages in the early prevention of complications. The EuroSCORE and Cleveland Clinic Foundation Score are the most common as they refer to both proper patient qualification to a risk group and a prognosis of postoperative mortality and morbidity. Because of different conditions, the populations of patients in many countries have their own specific traits, limiting one’s abilities to simply transfer the results of studies between them. This was confirmed in an investigation carried out the Department of Cardiac Surgery of the Medical University in Lodz, which showed that in the current phase of study, the Polish Score of surgical risk has been shown to be more useful to everyday application than the more commonly used scales of risk.