TY - JOUR
T1 - Clinical frailty scale and outcome after coronary artery bypass grafting
AU - Reichart, Daniel
AU - Rosato, Stefano
AU - Nammas, Wail
AU - Onorati, Francesco
AU - Dalén, Magnus
AU - Castro, Liesa
AU - Gherli, Riccardo
AU - Gatti, Giuseppe
AU - Franzese, Ilaria
AU - Faggian, Giuseppe
AU - De Feo, Marisa
AU - Khodabandeh, Sorosh
AU - Santarpino, Giuseppe
AU - Rubino, Antonino S.
AU - Maselli, Daniele
AU - Nardella, Saverio
AU - Salsano, Antonio
AU - Nicolini, Francesco
AU - Zanobini, Marco
AU - Saccocci, Matteo
AU - Bounader, Karl
AU - Kinnunen, Eeva Maija
AU - Tauriainen, Tuomas
AU - Airaksinen, Juhani
AU - Seccareccia, Fulvia
AU - Mariscalco, Giovanni
AU - Ruggieri, Vito G.
AU - Perrotti, Andrea
AU - Biancari, Fausto
PY - 2018/12/1
Y1 - 2018/12/1
N2 - OBJECTIVES: The aim of this study was to assess the impact of frailty on the outcome after coronary artery bypass grafting (CABG) and whether it may improve the predictive ability of European System for Cardiac Operative Risk Evaluation (EuroSCORE II). METHODS: The Clinical Frailty Scale (CFS) was assessed preoperatively in patients undergoing isolated CABG from the multicentre E-CABG registry, and patients were stratified into 3 classes: scores 1-2, scores 3-4 and scores 5-7. RESULTS: Of the 6156 patients enrolled, 39.2% had CFS scores 1-2, 57.6% scores 3-4, and 3.2% scores 5-7. Logistic regression adjusted for multiple covariates showed that the CFS was an independent predictor of hospital/30-day mortality [CFS scores 3-4, odds ratio (OR) 3.95, 95% confidence interval (CI) 2.19-7.14; CFS scores 5-7, OR 5.90, 95% CI 2.67-13.05] and resulted in an Integrated Improvement Index of 1.3 (P
AB - OBJECTIVES: The aim of this study was to assess the impact of frailty on the outcome after coronary artery bypass grafting (CABG) and whether it may improve the predictive ability of European System for Cardiac Operative Risk Evaluation (EuroSCORE II). METHODS: The Clinical Frailty Scale (CFS) was assessed preoperatively in patients undergoing isolated CABG from the multicentre E-CABG registry, and patients were stratified into 3 classes: scores 1-2, scores 3-4 and scores 5-7. RESULTS: Of the 6156 patients enrolled, 39.2% had CFS scores 1-2, 57.6% scores 3-4, and 3.2% scores 5-7. Logistic regression adjusted for multiple covariates showed that the CFS was an independent predictor of hospital/30-day mortality [CFS scores 3-4, odds ratio (OR) 3.95, 95% confidence interval (CI) 2.19-7.14; CFS scores 5-7, OR 5.90, 95% CI 2.67-13.05] and resulted in an Integrated Improvement Index of 1.3 (P
U2 - 10.1093/ejcts/ezy222
DO - 10.1093/ejcts/ezy222
M3 - Article
VL - 54
SP - 1102
EP - 1109
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
SN - 1010-7940
IS - 6
ER -