Adnan Menderes Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi AD, AYDIN
Objective: We aimed to assess the outcome of open heart surgery performed in our department by using EuroSCORE. Material and Methods: In this study, the first 300 consecutive patients who had undergone open heart surgery at Adnan Menderes University Cardiovascular Surgery Department were included. The mean age was 53±13 years (ranged from14 to 90 years). There were 75 females (25%) and 225 males (75%). All patients were operated through median sternotomy under cardiopulmonary bypass. Sixty eight preoperative and 29 peroperative patient related parameters were evaluated for every single patient and three risk groups were identified according to EuroSCORE: low risk group (analytical score 0-2), intermediate risk group (analytical score 3-5) and high risk group (analytical score>5). The actual mortality rates were compared with the predicted mortality rates in each risk group. Results: The actual mortality rate was zero in the low-risk group (97 patients) while the predicted mortality was 1.3 ±0.3%. The predicted and actual mortality rates were 3.2±0.9 % and 1 %, in the intermediate risk group (104 patients),26.0±23.7%and14.1 %in the high risk group(99patients), sequentially. Conclusion: Open heart surgery is performed with low mortality rates in our department.