The age, creatinine, and ejection fraction (ACEF) II Risk Score for cardiac surgery: updated but still parsimonious
Authors' conclusion
The ACEF II allows the inclusion of emergency patients and, through a re-modulation of the coefficients and the inclusion of anaemia, appears more adequate to the present cardiac surgery scenario.
Study context
- Population
- Consecutive cardiac surgery patients; development at one institution, validation at a different institutiondevelopment 7011
- Comparison
- ACEF II vs ACEF vs EuroSCORE II
- Outcome
- Operative mortality (in hospital or 30 days after surgery)
Methodological detailsexternal validation, multivariable logistic regression
- External validation
- Multivariable logistic regression
Performance
As reported in the abstract
Discrimination for operative mortality
ACEF II
0.814
c-statistics
ACEF
0.773
c-statistics
P = 0.041
Further findings
External validation
- ACEF II confirmed better discrimination than ACEF and good calibration
Original publication
The ACEF II Risk Score for cardiac surgery: updated but still parsimonious. Eur Heart J. Published 12 May 2017. doi:10.
Summarised from the published abstract; every number is checked against it