EuroSCORE II

Estimates 30-day / in-hospital operative mortality for adult cardiac surgery from patient, cardiac, and operation factors; a statistical risk estimate to inform (not replace) surgical judgment.

Age (years, 18–110)

Sex

Renal function (creatinine clearance, Cockcroft-Gault)

NYHA functional class

LV function (ejection fraction)

Pulmonary artery systolic pressure

Urgency

Weight of intervention

Extracardiac arteriopathy (claudication, carotid occlusion or > 50% stenosis, prior/planned intervention on abdominal aorta, limb, or carotid arteries)

Poor mobility (severe impairment from musculoskeletal or neurological dysfunction)

Previous cardiac surgery (one or more prior operations opening the pericardium)

Chronic pulmonary dysfunction (long-term bronchodilators or steroids for lung disease)

Active endocarditis (on antibiotics for endocarditis at time of surgery)

Critical preoperative state (VT/VF or aborted sudden death, preop cardiac massage, ventilation before theatre, inotropes, IABP, or preop acute renal failure)

Diabetes on insulin

CCS class 4 angina (angina at rest or on any activity)

Recent MI (within 90 days)

Surgery on thoracic aorta