Validation of the EuroSCORE II in Open and Trans-catheter Mitral Valve Repair.
NCT05714228 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 2645
Last updated 2023-02-06
Summary
The EuroSCORE II is widely used to predict 30-day mortality in patients undergoing open and trans-catheter cardiac surgery
* However, it has not been validated in patients undergoing surgical or trans- catheter mitral valve repair.
* The aim of this study is to evaluate the predictive value of the EuroSCORE II in estimating 30-day mortality in a large cohort of patients undergoing surgical and trans-catheter repair by means of Mitraclip implantation.
Methods
* Institutional database retrospective review for surgical mitral repair and MitraClip implantation.
* Time frame: January 2012-December 2019
* 2793 patients identified; Euroscore II 1.3% \[0.6%-2%\]
* Survival after hospital discharge was assessed by outpatients visit, usually done 2 months after the index procedure.
Statistical analysis
* Receiver operating characteristic (ROC) curves were used to determine the cut-offs of Euroscore II. ROC Area Under the Curve (AUC) values varies between 0 and 1, where 0.5 denotes a bad diagnostic test and 1 denotes an excellent diagnostic test.
* The maximum Youden's Index (J=sensitivity + specificity - 1) was employed to define the optimal cut-point.
* ROC curves were repeated for surgical and MitraClip patients separately, and for primary and secondary etiology as well.
Conditions
- Mitral Valve Regurgitation
Interventions
- PROCEDURE
-
Surgical Mitral Valve Repair
Mitral valve is repaired using open surgical approach
- PROCEDURE
-
Transcatheter Mitral Valve Repair
Mitral valve is repaired using Mitraclip transcatheter device
Sponsors & Collaborators
-
Michele De Bonis
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-06-10
- Primary Completion
- 2020-06-10
- Completion
- 2020-06-10
Countries
- Italy
Study Locations
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