Performance of the original EuroSCORE

S. Siregar, R.H.H. Groenwold, F. de Heer, M.L. Bots, Y. van der Graaf, L.A. van Herwerden

Research output: Contribution to journalArticleAcademicpeer-review


The European system for cardiac operative risk evaluation (EuroSCORE) is a commonly used risk score for operative mortality following cardiac surgery. We aimed to conduct a systematic review of the performance of the additive and logistic EuroSCORE. A literature search resulted in 67 articles. Studies applying the EuroSCORE on patients undergoing cardiac surgery and which reported early mortality were included. Weighted meta-regression showed that the EuroSCORE overestimated mortality. However, this performance depended on the risk profile of patients: in high-risk patients, the additive model actually underestimated mortality. Discriminative performance was good. Given the poor predictive performance, the EuroSCORE may not be suitable as a tool for patient selection nor for benchmarking.

Original languageEnglish
Pages (from-to)746-754
Number of pages9
JournalEuropean Journal of Cardio-thoracic Surgery
Issue number4
Publication statusPublished - Apr 2012


  • Calibration
  • Cardiac Surgical Procedures
  • Coronary Artery Bypass
  • Heart Valve Diseases
  • Humans
  • Prognosis
  • Risk Assessment
  • Severity of Illness Index
  • Treatment Outcome


Dive into the research topics of 'Performance of the original EuroSCORE'. Together they form a unique fingerprint.

Cite this