EuroSCORE II

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.

• 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

What are the inclusion criteria? 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.-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 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. 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. Ttenbergen 14:23, 2023 June 29 (CDT)

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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:
  • Project: EuroSCORE II
  • Item: EuroSCORE II
  • Column "K": enter the EuroSCORE II value
    • 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."
  • Checbkox: Check off if no Euroscore is recorded on the patient's chart
  • Not used: start_dt and start_tm, integer, comment

Exceptions / Special cases

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

Are there any?Ttenbergen 15:28, 2023 June 28 (CDT) I don't think so Lisa Kaita 15:59, 2023 June 28 (CDT)

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for TAVIs should we delete the line or check the box? Scortilet 09:22, 2023 July 12 (CDT) what does TAVIs mean? --JMojica 09:32, 2023 July 12 (CDT)

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Data Integrity Checks (automatic list)

	App	Status
Query s tmp EuroSCORE II checks	CCMDB.accdb	implemented

Data Use

Pls fill in once you have info.

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SAS Program

Pls fill in once you have info.

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Background

We used to collect a related project, see EuroScore.