Archives of cardiovascular diseases
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Arch Cardiovasc Dis · Dec 2013
Comparative StudySimple bedside clinical evaluation versus established scores in the estimation of operative risk in valve replacement for severe aortic stenosis.
The operative risk of cardiac surgery is ascertained preoperatively on the basis of scores validated in multinational studies. However, the value they add to a simple bedside clinical evaluation (CE) remains controversial. ⋯ A simple bedside CE appears as reliable as the various established scores for predicting operative risk in patients undergoing surgical aortic valve replacement. The development and validation of more comprehensive risk stratification tools, including risk factors thus far neglected, seems warranted.