Important: The previous additive and logistic EuroSCORE models are out of date. A new model has been prepared from fresh data and is launched at the 2011 EACTS meeting in Lisbon. The model is called EuroSCORE II - we strongly advise that you use this model - available here. If you really wish to calculate the older "additive" or "logistic" EuroSCORE you can use it below.

  

Patient-related factors

Cardiac-related factors

Age (years) Unstable angina6    
Gender   LV function  
Chronic pulmonary disease1   Recent MI7  
Extracardiac arteriopathy2   Pulmonary hypertension8  
Neurological dysfunction3  

Operation-related factors

Previous Cardiac Surgery   Emergency9
Creatinine > 200 mol/ L   Other than isolated CABG  
Active endocarditis4   Surgery on thoracic aorta  
Critical preoperative state5   Post infarct septal rupture  
       
EuroSCORE  
Note: Logistic is now default calculator    

 

About the "logistic" euroSCORE

Important: The previous additive and logistic EuroSCORE models are out of date. A new model has been prepared from fresh data and is launched at the 2011 EACTS meeting in Lisbon. The new model is called EuroSCORE II - we strongly advise that you use this model - available here. If you really wish to calculate the older "additive" or "logistic" EuroSCORE you can use it above - but these calucaltors should only be used when there is a specific requirement to use these older models.

By selecting  "Standard euroSCORE" euroSCORE values are simply added to estimate risk of death as described in Roques F, Nashef SA, et al.  Eur J Cardiothorac Surg. 1999 Jun;15(6):816-22

By selecting  "Logistic euroSCORE" - euroSCORE predicted mortality is calculated as described in Roques F, Michel P, Goldstone AR, Nashef SA. Eur Heart J. 2003 May;24(9):882-3

   Predicted mortality =   e (β0 + bi Xi) / 1+ e (β0 + bi Xi)

    Click here for full details on how to calculate Logistic euroSCORE. [Calculator version 2.0  Updated  25th September 2011]

 

Notes

[1]    Chronic pulmonary disease  Long term use of bronchodilators or steroids for lung disease

[2]    Extracardiac arteriopathy   One or more of claudication, carotid occlusion  or >50% stenosis, previous or planned intervention on the abdominal aorta, limb arteries or carotids

[3]    Neurological dysfunction Disease severely affecting ambulation or day-to-day functioning

[4]    Active endocarditis   Patient still on antibiotic treatment for endocarditis at time of surgery

[5]    Critical preoperative state   Ventricular Tachycardia / Ventricular Fibrillation or aborted sudden death, preoperative cardiac massage, preoperative ventilation before anaesthetic room, preoperative inotropes or IABP, preoperative Acute Renal Failure (anuria or oliguria <10ml/hr)

[6]    Unstable angina    Rest angina requiring i.v. nitrates until arrival in anaesthetic room

[7]    Recent MI   Myocardial infarction within 90 days

[8]    Pulmonary hypertension   Systolic pulmonary artery pressure >60mmHg

[9]    Emergency   Operation before beginning of next working day

 

You may also download a calculator for use offline. Please note that there is not currently a EuroSCORE II calculator for use offline.

 

References and other resources

Roques F, Nashef SA, Michel P, Gauducheau E, de Vincentiis C, Baudet E, Cortina J, David M, Faichney A, Gabrielle F, Gams E, Harjula A, Jones MT, Pintor PP, Salamon R, Thulin L. Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19030 patients. Eur J Cardiothorac Surg. 1999 Jun;15(6):816-22; discussion 822-3.

Roques F, Michel P, Goldstone AR, Nashef SA. The logistic EuroSCORE. Eur Heart J. 2003 May;24(9):882-3

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