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.
• We will collect this for all Transcatheter aortic valve implantation coming from the Cath Lab and admitted to either ACCU or CICU.
• 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

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.

are minimally invasive surgeries excluded? Do you have specific surgeries you are asking about Steph? I think if they come from the OR and are under cardiac surgery, we would include them. If you have specific procedures in mind, I can email Dr Manji or you could email him, and update the wiki when you get a response. Lisa Kaita 10:41, 2023 July 31 (CDT)

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How to enter this

• Use tmp fields:
  • 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
    • 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."
  • Checkbox: Check off if no Euroscore is recorded on the patient's chart
  • beginning Aug3, 2023, enter the name of the cardiac surgeon, in column Q with/without the EuroscoreII Value
  • Not used: start_dt and start_tm, integer, comment

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.