Institute for Algorithmic Medicine
A Texas Non-profit Corporation
[06-04-16] The European System for Cardiac Operative Risk Evaluation (EuroSCORE)

Purpose: To evaluate the risk for a patient having cardiac surgery using the EuroSCORE.

 
Gender of the patient

Male Female
Age of the patient Years
Does the patient have a history of chronic pulmonary disease?

Yes No

Does the patient have claudication?

Yes No

Does the patient have occlusion or > 50% stenosis of a carotid artery?

Yes No

Has the patient had previous surgery on the abdominal aorta, limb arteries or carotid arteries?

Yes No

Is surgery planned to take place on the abdominal aorta, limb arteries or carotid arteries?

Yes No

Does the patient have a history of severe neurologic dysfunction?

Yes No

Does the patient have active infectious endocarditis?

Yes No

Does the patient have a history of previous cardiac surgery that involved opening the pericardium?

Yes No

Did the patient have ventricular tachycardia or fibrillation before surgery?

Yes No

Was cardiac resuscitation or preoperative cardiac massage performed prior to reaching the operating room?

Yes No

Did the patient require preoperative mechanical ventilation? Yes No
Did the patient require preoperative inotropic support? Yes No
Was an intra-aortic balloon pump required prior to surgery? Yes No
Did the patient have preoperative acute renal failure, with anuria or oliguria? Yes No
Does the patient have unstable angina? Yes No
Does the patient have a history of myocardial infarction in the past 90 days? Yes No
Systolic pulmonary artery pressure mm Hg
Left ventricular ejection fraction percent
Preoperative serum creatinine

µmol/L mg/dl

Is the cardiac surgery being performed as an emergency procedure?

Yes No

Will the surgery involve the thoracic aorta?

Yes No

Has there been a postinfarct rupture of the interventricular septum?

Yes No

  click the appropriate column to indicate the type of cardiac surgery
   Type of cardiac surgery    
CABG only non-CABG
CABG & non- CABG