Can the Vulnerable Elders-13 Survey (VES-13) scale replace the EuroSCORE scale in predicting complications in patients over 60 years of age undergoing cardiac surgery?

Anetta Kowalczuk-Wieteska; Monika Parys; Iwona Majchrzyk; Michał Zembala; Marian Zembala

doi:10.5114/aic.2019.86014

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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vol. 15

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abstract:

Original paper

Can the Vulnerable Elders-13 Survey (VES-13) scale replace the EuroSCORE scale in predicting complications in patients over 60 years of age undergoing cardiac surgery?

Anetta Kowalczuk-Wieteska

¹

,

Monika Parys

¹

,

Iwona Majchrzyk

¹

,

Michał Zembala

¹

,

Marian Zembala

¹

Department and Clinical Department of Cardiac Surgery, Transplantology, Vascular Surgery and Endovascular, Medical University of Silesia, Zabrze, Poland

Adv Interv Cardiol 2019; 15, 2 (56): 211–217

DOI: https://doi.org/10.5114/aic.2019.86014

Online publish date: 2019/06/26

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AMA

Kowalczuk-Wieteska A, Parys M, Majchrzyk I, Zembala M, Zembala M. Can the Vulnerable Elders-13 Survey (VES-13) scale replace the EuroSCORE scale in predicting complications in patients over 60 years of age undergoing cardiac surgery?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2019;15(2):211-217. doi:10.5114/aic.2019.86014.

APA

Kowalczuk-Wieteska, A., Parys, M., Majchrzyk, I., Zembala, M.,  & Zembala, M. (2019). Can the Vulnerable Elders-13 Survey (VES-13) scale replace the EuroSCORE scale in predicting complications in patients over 60 years of age undergoing cardiac surgery?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 15(2), 211-217. https://doi.org/10.5114/aic.2019.86014

Chicago

Kowalczuk-Wieteska, Anetta, Monika Parys, Iwona Majchrzyk, Michał Zembala,  and Marian Zembala. 2019. "Can the Vulnerable Elders-13 Survey (VES-13) scale replace the EuroSCORE scale in predicting complications in patients over 60 years of age undergoing cardiac surgery?". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 15 (2): 211-217. doi:10.5114/aic.2019.86014.

Harvard

Kowalczuk-Wieteska, A., Parys, M., Majchrzyk, I., Zembala, M.,  and Zembala, M. (2019). Can the Vulnerable Elders-13 Survey (VES-13) scale replace the EuroSCORE scale in predicting complications in patients over 60 years of age undergoing cardiac surgery?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 15(2), pp.211-217. https://doi.org/10.5114/aic.2019.86014

MLA

Kowalczuk-Wieteska, Anetta et al. "Can the Vulnerable Elders-13 Survey (VES-13) scale replace the EuroSCORE scale in predicting complications in patients over 60 years of age undergoing cardiac surgery?." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 15, no. 2, 2019, pp. 211-217. doi:10.5114/aic.2019.86014.

Vancouver

Kowalczuk-Wieteska A, Parys M, Majchrzyk I, Zembala M, Zembala M. Can the Vulnerable Elders-13 Survey (VES-13) scale replace the EuroSCORE scale in predicting complications in patients over 60 years of age undergoing cardiac surgery?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2019;15(2):211-217. doi:10.5114/aic.2019.86014.

Introduction
Before the operation each cardiosurgery geriatric patient is assessed by the Vulnerable Elders-13 Survey (VES-13) and European System for Cardiac Operative Risk Evaluation (EuroSCORE) scales.

Aim
To compare the applicability of the VES-13 and EuroSCORE scale in the assessment of postoperative risk among operated patients > 60 years old qualified most often for coronary artery bypass grafting.

Material and methods
VES-13 is a questionnaire containing 13 questions, including patient’s age and a health self-assessment. The EuroSCORE includes age, sex and cardiological assessment and vascular changes, respiratory diseases, neurological and nephrological disorders. In both scales the risk of death is high when the patient has > 6 points. The study included 100 patients ≥ 60 (60.83 ±6.18) years old who were divided into subgroups with < 6 points and ≥ 6 points.

Results
The number of VES-13 points = 3.06 ±2.25, EuroSCORE = 5.50 ±3.19. In patients > 75 years old VES score was 4.32 ±2.6 vs. 2.707 ±2.02 and EuroSCORE 8.09 ±3.02 vs. 4.77 ±2.83. The most frequent postoperative complication was atrial fibrillation. The most frequent complications were the following: death (5%), delirium (3.64%), bleeding (3.54%), stroke (3.54%), renal failure (3.32%), pacemaker implantation (3.28%), difficult healing of the wound (2.64%), intestinal ischemia (2.56%). The correlation between the VES-13 and EuroSCORE was moderate.

Conclusions
In cardiosurgery patients who obtained before the operation ≥ 6 points on the VES-13 or EuroSCORE the risk of postoperative complications is high. VES-13 and EuroSCORE cannot be used interchangeably because the correlation is at a medium level.

keywords:

Can the Vulnerable Elders-13 Survey (VES-13) scale replace the EuroSCORE scale in predicting complications in patients over 60 years of age undergoing cardiac surgery?

Anetta Kowalczuk-Wieteska 1 , Monika Parys 1 , Iwona Majchrzyk 1 , Michał Zembala 1 , Marian Zembala 1

Vulnerable Elders-13 Survey scale, European System for Cardiac Operative Risk Evaluation, elderly patients

Anetta Kowalczuk-Wieteska

¹

,

Monika Parys

¹

,

Iwona Majchrzyk

¹

,

Michał Zembala

¹

,

Marian Zembala

¹