The Cardiovascular
ToolsCalculators

EuroSCORE II (Cardiac Surgery Operative Mortality)

Predicted in-hospital mortality after cardiac surgery.

EuroSCORE II (Cardiac Surgery Operative Mortality)
Age
years
Sex
Renal function (creatinine clearance)
Insulin-dependent diabetes
Chronic pulmonary disease
Extracardiac arteriopathy
Poor mobility (neuro/musculoskeletal)
Previous cardiac surgery
Active endocarditis
Critical preoperative state
NYHA class
CCS class 4 angina
LV function
Recent MI (within 90 days)
Pulmonary hypertension
Urgency
Weight of the intervention
Surgery on thoracic aorta
Complete the fields above to see the result.

When to use

  • Estimating operative mortality risk to inform cardiac surgery decision-making and consent.

Formula

Logistic model: mortality = e^y / (1 + e^y), y = -5.324537 + 0.0285181*(age term) + sum of variable coefficients (age term = 1 if age<=60, then +1 per year).

Pearls and pitfalls

  • Replaced the older logistic EuroSCORE, which markedly overpredicted risk.
  • Age is coded as 1 up to 60 years, incrementing by 1 for each year beyond 60.

References

  1. Nashef SA, Roques F, Sharples LD, et al. Eur J Cardiothorac Surg. 2012;41(4):734-44.