EuroSCORE II: Difference between revisions

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== Data Collection Instructions ==
== Data Collection Instructions ==
=== Inclusion Criteria ===
=== Inclusion Criteria ===
We will collect this for all cardiac surgery admissions with an [[Admit DtTm]] > July 3, 2023 00:00 who [[are from the Operating Room] or [had ECMO from other service]] and [who are admitted to CICU] under the surgeon.  
*We will collect this for all cardiac surgery admissions with an [[Admit DtTm]] > July 3, 2023 00:00 who [[are from the Operating Room] or [had ECMO from other service]] and [who are admitted to CICU] under the surgeon.
*We will collect this for all [[Transcatheter aortic valve implantation (TAVI)|Transcatheter aortic valve implantation]] coming from the Cath Lab and admitted to either ACCU or CICU.
*We will collect this for any Thoracic procedures, provided the surgery is done by cardiac surgery, and the patient is admitted to the CICU under cardiac surgery service.
*As per Dr Manji, only the first Euroscore II value should be collected.  For patients that have subsequent surgeries during the same admission, record the first Euroscore II value, if it is available.  If the initial surgery does not have a calculated Euroscore II value, but the second surgery does have a Euroscore II calculated value then use the second value.   
*As per Dr Manji, only the first Euroscore II value should be collected.  For patients that have subsequent surgeries during the same admission, record the first Euroscore II value, if it is available.  If the initial surgery does not have a calculated Euroscore II value, but the second surgery does have a Euroscore II calculated value then use the second value.   
* There may be the rare ECMO patient that may be cardiac surgery but not under the surgeon ... if there is a question, the database nurses can email Dr Manji and he can help clarify.
* There may be the rare ECMO patient that may be cardiac surgery but not under the surgeon ... if there is a question, the database nurses can email Dr Manji and he can help clarify.
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*Dr. Fagan
*Dr. Fagan
*Dr. Kandeel
*Dr. Kandeel
 
*Dr. Muller Moran
 
=== Exceptions / Special cases / Exclusions ===
 
* non-cardiac surgery patients who are overflows to CICU are excluded.
 
** e.g. ACCU or ICMS patients borrowing bed and service at ICCS.
 
 
 
 
 
{{Discuss | What are the inclusion criteria? [[User:Ttenbergen|Ttenbergen]] 15:28, 2023 June 28 (CDT)
* talked to Dr Manji this 10:00 am and he mentioned about the ECMO part. I added it above. Will this info be known from chart notes.-[[User:JMojica|JMojica]] 11:28, 2023 June 29 (CDT)
** ECMO is always on the flowsheets. so are you saying if they are admitted from CR4 for ECMO he wants the Euroscore?  I hope the cardiac surgeons know that [[User:Lkaita|Lisa Kaita]] 13:42, 2023 June 29 (CDT)
*** Guess if the surgeons don't know/do then he will get a bunch of "not available" checkboxes. We should probably feed a quick report on those back to him after 2 weeks. [[User:Ttenbergen|Ttenbergen]] 14:14, 2023 June 29 (CDT)
**** Dr Manji in his email would like report/feedback for the next three months (end of Sept) how many have and don't have from us.
*** To be clear then: since we are asking collectors to delete this line for records that should not have it, do we need to translate any of this into the inclusion criteria or are they clear? So we can clean out the discussion. [[User:Ttenbergen|Ttenbergen]] 14:23, 2023 June 29 (CDT)
}}


=== How to enter this ===
=== How to enter this ===
A EuroSCORE line will automatically be added to each STB CC record. Delete this line from records that don't meet the [[#Inclusion Criteria]].
Use tmp fields:
 
* Score portion:  
*Use tmp fields:
** Project: '''{{PAGENAME}}'''
** Project: '''{{PAGENAME}}'''
** Item: '''{{PAGENAME}}'''
** Item:  
** Column "K": ''' enter the EuroSCORE II value'''
*** enter '''{{PAGENAME}}''' if you are entering a score
*** As pre Dr. Manji: "The plan at present is that the surgeons will calculate the Euroscore II (there is an online calculator) and put the Euroscore II value in the operative report in the EPR. The plan is to start doing this as of Monday July 3/23."
*** enter "excluded" if the patient should be excluded but our cross check triggers for it
** Checbkox: '''Check off if no Euroscore is recorded on the patient's chart'''
** Column "J" (float): ''' enter the EuroSCORE II value'''
** Not used:  start_dt and start_tm, integer, comment
** Checkbox: '''Check off if no Euroscore is recorded on the patient's chart'''
** Comment: If the Euroscore is not found in the OR report, please note this in the comment field
** Not used:  start_dt and start_tm, integer
* Physician portion:
** Project: '''EuroSCORE II Phy''' (EuroSCORE II Physician was too long for the field)
** Item: pick the relevant physician from the dropdown
** Not used:  start_dt and start_tm, float, integer, comment


=== Exceptions / Special cases/Exclusions ===
=== Background / Source of data ===
* non-cardiac surgery patients  who are overflows to CICU are excluded.
As per Dr. Manji: "The plan at present is that the surgeons will calculate the Euroscore II (there is an online calculator) and put the Euroscore II value in the operative report in the EPR. The plan is to start doing this as of Monday July 3/23."
* TAVI procedures are excluded
** e.g. ACCU or ICMS patients borrowing bed and service at ICCS.


=== Data evolution of this project ===
* originally the physician name was not recorded, but we started recording it in the Q/comment field beginning Aug3, 2023
* we may change to the proposed tweak above...


{{Data Integrity Check List}}
{{Data Integrity Check List}}


== Data Use ==
== Data Use ==
{{DJ | Pls fill in once you have info. }}
The Euroscore is being used by the STB Cardiac Sciences QI team lead by Dr. Manji to assess the risk of cardiac patients in comparison with the APACHE Score.  


=== SAS Program ===
=== SAS Program ===
{{DJ | Pls fill in once you have info. }}
The SAS program is saved in S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\EuroScore.sas
 
== Background ==
== Background ==
We used to collect a related project, see [[EuroScore]].  
We used to collect a related project, see [[EuroScore]].  

Latest revision as of 08:36, 2024 October 29

Projects
Active?: planned
Program: CC
Requestor: Dr. Rizwan Manji
Collection start: 2023-07-03
Collection end:

The EuroSCORE is a risk stratification system used by cardiac surgeons. See the EuroScore Website for more information.

Data Collection Instructions

Inclusion Criteria

  • We will collect this for all cardiac surgery admissions with an Admit DtTm > July 3, 2023 00:00 who [[are from the Operating Room] or [had ECMO from other service]] and [who are admitted to CICU] under the surgeon.
  • We will collect this for all Transcatheter aortic valve implantation coming from the Cath Lab and admitted to either ACCU or CICU.
  • We will collect this for any Thoracic procedures, provided the surgery is done by cardiac surgery, and the patient is admitted to the CICU under cardiac surgery service.
  • As per Dr Manji, only the first Euroscore II value should be collected. For patients that have subsequent surgeries during the same admission, record the first Euroscore II value, if it is available. If the initial surgery does not have a calculated Euroscore II value, but the second surgery does have a Euroscore II calculated value then use the second value.
  • There may be the rare ECMO patient that may be cardiac surgery but not under the surgeon ... if there is a question, the database nurses can email Dr Manji and he can help clarify.

To help identify these patients as "cardiac surgery" patients, the current list of cardiac surgeons are as follows:

  • Dr. Ghorpade,
  • Dr. Raabe
  • Dr. Luqman
  • Dr. Hong
  • Dr. Spooner
  • Dr. Fagan
  • Dr. Kandeel
  • Dr. Muller Moran

Exceptions / Special cases / Exclusions

  • non-cardiac surgery patients who are overflows to CICU are excluded.
    • e.g. ACCU or ICMS patients borrowing bed and service at ICCS.

How to enter this

Use tmp fields:

  • Score portion:
    • Project: EuroSCORE II
    • Item:
      • enter EuroSCORE II if you are entering a score
      • enter "excluded" if the patient should be excluded but our cross check triggers for it
    • Column "J" (float): enter the EuroSCORE II value
    • Checkbox: Check off if no Euroscore is recorded on the patient's chart
    • Comment: If the Euroscore is not found in the OR report, please note this in the comment field
    • Not used: start_dt and start_tm, integer
  • Physician portion:
    • Project: EuroSCORE II Phy (EuroSCORE II Physician was too long for the field)
    • Item: pick the relevant physician from the dropdown
    • Not used: start_dt and start_tm, float, integer, comment

Background / Source of data

As per Dr. Manji: "The plan at present is that the surgeons will calculate the Euroscore II (there is an online calculator) and put the Euroscore II value in the operative report in the EPR. The plan is to start doing this as of Monday July 3/23."

Data evolution of this project

  • originally the physician name was not recorded, but we started recording it in the Q/comment field beginning Aug3, 2023
  • we may change to the proposed tweak above...

Data Integrity Checks (automatic list)

 AppStatus
Query s tmp EuroSCORE II checksCCMDB.accdbimplemented

Data Use

The Euroscore is being used by the STB Cardiac Sciences QI team lead by Dr. Manji to assess the risk of cardiac patients in comparison with the APACHE Score.

SAS Program

The SAS program is saved in S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\EuroScore.sas

Background

We used to collect a related project, see EuroScore.

Related articles

Related articles:
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