{"id":5401,"date":"2026-02-20T11:46:52","date_gmt":"2026-02-20T09:46:52","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5401"},"modified":"2026-02-20T11:46:52","modified_gmt":"2026-02-20T09:46:52","slug":"cvja-2025-092","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2025-092\/","title":{"rendered":"The ACEF II scoring model in patients undergoing isolated coronary artery bypass grafting surgery: A single centre validation study"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            \r\nSelen \u00d6zt\u00fcrk\r\n<\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                                     \r\n\r\n        <strong>Introduction:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nEstimating the mortality rate of patients after cardiac surgery is an important issue in clinical practice. The age, creatinine, and ejection fraction (ACEF) score is one of those scoring models developed for this purpose. We aimed to validate the mortality scoring model, ACEF II (age, creatinine, ejection fraction, hematocrit, and emergency of the surgery), in the patient population undergoing isolated coronary artery bypass grafting surgery.\r\n<br \/>   \r\n\r\n        <strong>Methods:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nPatients with coronary artery disease who underwent isolated coronary artery bypass grafting were retrospectively analysed. Data from January 2022 to December 2022 are included. ACEF II scoring model points were calculated. The efficacy of this model in predicting 30-day mortality was determined by the receiver operating characteristic (ROC) curve.\r\n<br \/>\r\n                \r\n                <strong>Results:<\/strong>                                                                                                    \r\n429 patients were included in the analysis. One-month mortality was 6.1% (n = 26). There was a statistically significant difference in terms of age, ejection fraction, heart failure, creatinine, hematocrit, ACEF scores, status of operation (elective\/emergency), and cardiopulmonary bypass time. (p = 0.001; p < 0.01). The cut-off value of the ACEF II score and area under the ROC curve were, respectively, 4.2 and 0.992. The risk of mortality in cases with an ACEF II score above 4.2 was found to be 2.238 (95% CI: 1.628\u20133.076) times higher. In multivariate logistic regression analysis, ACEF II score and heart failure were significant risk factors (p < 0.05).\r\n<br \/>\r\n                                                                                                                                                                                                                                                                        \r\n                                                                                                                                                \r\n        <strong>Conclusion:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nWe concluded that the ACEF II score and heart failure were independent risk factors for mortality. ACEF II has a good ability to discriminate for predicting mortality in the cardiac surgical population.\r\n<br \/>    \r\n                                                                                                        \r\n\r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>coronary artery bypass grafting, mortality, scoring model<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> March 12, 2025; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> October 28, 2025; <!--Month day, year; -->                                                                            \r\n    <strong>Published:<\/strong> February 20, 2026<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>37<\/b>: 27-31<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 37, Issue 1<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2025-092<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                \r\n                <div id=\"author-affiliation\">                                                                                                \r\n\r\n\r\n<strong>Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Education and Research Hospital, Cardiovascular Surgery Clinics, Istanbul, Turkey\r\n<\/strong>    <br \/>                                                                            \r\nSelen \u00d6zt\u00fcrk\r\n\r\n<br \/><br \/>\r\n                                                                                                                                                                                                                                        \r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Estimating the mortality rate of patients after cardiac surgery is an important issue in clinical practice. The age, creatinine, and ejection fraction (ACEF) score is one of those scoring models developed for this purpose. We aimed to validate the mortality scoring model, ACEF II (age, creatinine, ejection fraction, hematocrit, and emergency of the surgery), in the patient population undergoing isolated coronary artery bypass grafting surgery.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,109],"tags":[],"class_list":["post-5401","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-37-issue-1"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The ACEF II scoring model in patients undergoing isolated coronary artery bypass grafting surgery: A single centre validation study - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"Estimating the mortality rate of patients after cardiac surgery is an important issue in clinical practice. The age, creatinine, and ejection fraction (ACEF) score is one of those scoring models developed for this purpose. We aimed to validate the mortality scoring model, ACEF II (age, creatinine, ejection fraction, hematocrit, and emergency of the surgery), in the patient population undergoing isolated coronary artery bypass grafting surgery.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cvja.co.za\/journal\/cvja-2025-092\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The ACEF II scoring model in patients undergoing isolated coronary artery bypass grafting surgery: A single centre validation study - Cardiovascular Journal of Africa\" \/>\n<meta property=\"og:description\" content=\"Estimating the mortality rate of patients after cardiac surgery is an important issue in clinical practice. The age, creatinine, and ejection fraction (ACEF) score is one of those scoring models developed for this purpose. We aimed to validate the mortality scoring model, ACEF II (age, creatinine, ejection fraction, hematocrit, and emergency of the surgery), in the patient population undergoing isolated coronary artery bypass grafting surgery.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cvja.co.za\/journal\/cvja-2025-092\/\" \/>\n<meta property=\"og:site_name\" content=\"Cardiovascular Journal of Africa\" \/>\n<meta property=\"article:published_time\" content=\"2026-02-20T09:46:52+00:00\" \/>\n<meta name=\"author\" content=\"Jaco Moolman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jaco Moolman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cvja.co.za\/journal\/cvja-2025-092\/\",\"url\":\"https:\/\/cvja.co.za\/journal\/cvja-2025-092\/\",\"name\":\"The ACEF II scoring model in patients undergoing isolated coronary artery bypass grafting surgery: A single centre validation study - Cardiovascular Journal of Africa\",\"isPartOf\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#website\"},\"datePublished\":\"2026-02-20T09:46:52+00:00\",\"author\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#\/schema\/person\/6bf8a30a039e93fd8112db707affb920\"},\"description\":\"Estimating the mortality rate of patients after cardiac surgery is an important issue in clinical practice. 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