Emergency · LIVE

EuroSCORE II in-hospital mortality

EuroSCORE II

Compute the Nashef 2012 Table 6 logistic estimated in-hospital mortality after adult cardiac surgery from the published multivariable coefficients.

LIVE $0.005 USDC GET /api/calc/euroscore_ii

Markdown: /docs/euroscore-ii.md · Canonical: https://magentlab.com/docs/euroscore-ii

Not a medical device. Not a diagnosis, dose, or listing recommendation.

What it computes

Compute the Nashef 2012 Table 6 logistic estimated in-hospital mortality after adult cardiac surgery from the published multivariable coefficients.

When to use

When an agent needs the published EuroSCORE II probability and must not substitute additive EuroSCORE I, invent low/intermediate/high percent bands, or issue an operative clearance.

When not to use

• Not a medical device. Not a diagnosis and not an operative clearance.
• Nashef 2012 Table 6 multivariable logistic EuroSCORE II only. This is not additive EuroSCORE I and not Table 5 univariable coefficients.
• Nashef 2012 does not publish low, intermediate, or high percent cuts; magent does not invent them.
• renal is a caller-assigned creatinine-clearance band or dialysis. magent does not run Cockcroft-Gault and does not parse a creatinine number.
• NYHA, LV function, urgency, procedure weight, and flags are caller-assigned published categories. magent does not examine the patient or classify an operative note.
• The paper's developmental cohort oldest patient was 95; predicted percent is for a population, not an individual outcome.

Formula

y = -5.324537 + 0.0285181*age_step + female + renal + extracardiac_arteriopathy + poor_mobility + previous_cardiac_surgery + chronic_lung_disease + active_endocarditis + critical_preoperative_state + insulin_dependent_diabetes + nyha + ccs_class_4 + lv_function + recent_mi + pulmonary_hypertension + urgency + weight_of_procedure + thoracic_aorta (Nashef 2012 Table 6 multivariable); age_step = 1 if age <= 60 else (age - 59); female 0.2196434; renal cc_gt_85 0, cc_51_85 0.303553, cc_le_50 0.8592256, dialysis 0.6421508; extracardiac_arteriopathy 0.5360268; poor_mobility 0.2407181; previous_cardiac_surgery 1.118599; chronic_lung_disease 0.1886564; active_endocarditis 0.6194522; critical_preoperative_state 1.086517; insulin_dependent_diabetes 0.3542749; nyha 1 0, 2 0.1070545, 3 0.2958358, 4 0.5597929; ccs_class_4 0.2226147; lv_function good 0, moderate 0.3150652, poor 0.8084096, very_poor 0.9346919; recent_mi 0.1528943; pulmonary_hypertension none 0, moderate 0.1788899, severe 0.3491475; urgency elective 0, urgent 0.3174673, emergency 0.7039121, salvage 1.362947; weight_of_procedure isolated_cabg 0, single_non_cabg 0.0062118, two 0.5521478, three_plus 0.9724533; thoracic_aorta 0.6527205; estimated_probability_percent = 100 * exp(y) / (1 + exp(y))

Citation

Title

EuroSCORE II

Authors

Nashef SAM, Roques F, Sharples LD, Nilsson J, Smith C, Goldstone AR, Lockowandt U

Source

Eur J Cardiothorac Surg. 2012;41(4):734-745

DOI

10.1093/ejcts/ezs043

Worked example

Also searched as

• EuroSCORE II
• EuroSCORE 2
• Nashef 2012 cardiac surgery mortality
• in-hospital mortality after cardiac surgery
• logistic EuroSCORE II
• cardiac operative risk evaluation II
• EuroSCORE II Table 6
• predicted hospital death after heart surgery

Try

Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.

/api/calc/euroscore_ii?age=60&sex=male&renal=cc_gt_85&nyha=1&lv_function=good&urgency=elective&weight_of_procedure=isolated_cabg&pulmonary_hypertension=none&extracardiac_arteriopathy=false&poor_mobility=false&previous_cardiac_surgery=false&chronic_lung_disease=false&active_endocarditis=false&critical_preoperative_state=false&insulin_dependent_diabetes=false&ccs_class_4=false&recent_mi=false&thoracic_aorta=false

Full URL: https://api.magentlab.com/api/calc/euroscore_ii?age=60&sex=male&renal=cc_gt_85&nyha=1&lv_function=good&urgency=elective&weight_of_procedure=isolated_cabg&pulmonary_hypertension=none&extracardiac_arteriopathy=false&poor_mobility=false&previous_cardiac_surgery=false&chronic_lung_disease=false&active_endocarditis=false&critical_preoperative_state=false&insulin_dependent_diabetes=false&ccs_class_4=false&recent_mi=false&thoracic_aorta=false

Call

Expect HTTP 402 until you retry with PAYMENT-SIGNATURE. Incomplete query params return HTTP 400 before any quote or charge.

curl -i -H "Accept: application/json" "https://api.magentlab.com/api/calc/euroscore_ii?age=60&sex=male&renal=cc_gt_85&nyha=1&lv_function=good&urgency=elective&weight_of_procedure=isolated_cabg&pulmonary_hypertension=none&extracardiac_arteriopathy=false&poor_mobility=false&previous_cardiac_surgery=false&chronic_lung_disease=false&active_endocarditis=false&critical_preoperative_state=false&insulin_dependent_diabetes=false&ccs_class_4=false&recent_mi=false&thoracic_aorta=false"

Parameters

Bulk (POST)

POST the same path with a JSON items array. The first item is the GET unit; each additional item is $0.002. Invalid items return HTTP 400 before settlement.

POST /api/calc/euroscore_ii Max 25 unit_amount + extra_item_amount * (n - 1) extra $0.002 PREVIEW

• 1 to 25 items. Each item uses the same keys as the GET query parameters.
• POST of 1 item costs the same as GET. Lists longer than 25: chunk into multiple POSTs. Extra items still execute; do not pad dummy rows.
• The first invalid item fails the whole request (index in the 400 JSON). You are not charged.
• HTTP 200 is {count, path, items}. Each items[i] is the GET 200 body for that row.
• Catalog misses (empty matches, found=false) stay paid 200s inside that slot.
• x402 resource URL is this path plus n and body_sha256. Browsers that prefer text/html get the same paywall as GET; Pay retries POST with the same items.

Example request (fixture)

{
  "items": [
    {
      "active_endocarditis": "false",
      "age": "60",
      "ccs_class_4": "false",
      "chronic_lung_disease": "false",
      "critical_preoperative_state": "false",
      "extracardiac_arteriopathy": "false",
      "insulin_dependent_diabetes": "false",
      "lv_function": "good",
      "nyha": "1",
      "poor_mobility": "false",
      "previous_cardiac_surgery": "false",
      "pulmonary_hypertension": "none",
      "recent_mi": "false",
      "renal": "cc_gt_85",
      "sex": "male",
      "thoracic_aorta": "false",
      "urgency": "elective",
      "weight_of_procedure": "isolated_cabg"
    },
    {
      "active_endocarditis": "false",
      "age": "60",
      "ccs_class_4": "false",
      "chronic_lung_disease": "false",
      "critical_preoperative_state": "false",
      "extracardiac_arteriopathy": "false",
      "insulin_dependent_diabetes": "false",
      "lv_function": "good",
      "nyha": "1",
      "poor_mobility": "false",
      "previous_cardiac_surgery": "false",
      "pulmonary_hypertension": "none",
      "recent_mi": "false",
      "renal": "cc_gt_85",
      "sex": "male",
      "thoracic_aorta": "false",
      "urgency": "elective",
      "weight_of_procedure": "isolated_cabg"
    }
  ]
}

Open bulk paywall →

Opens a two-item fixture on the API host. Unpaid browsers get the same MetaMask paywall as GET; Pay retries POST with those items.

Example 200 (fixture)

{
  "count": 2,
  "path": "/api/calc/euroscore_ii",
  "items": [
    {
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "age_years": 60,
      "citation": {
        "authors": "Nashef SAM, Roques F, Sharples LD, Nilsson J, Smith C, Goldstone AR, Lockowandt U",
        "doi": "10.1093/ejcts/ezs043",
        "id": "nashef-2012",
        "pmid": "22378855",
        "source": "Eur J Cardiothorac Surg. 2012;41(4):734-745",
        "title": "EuroSCORE II"
      },
      "formula": "euroscore_ii",
      "formula_expression": "y = -5.324537 + 0.0285181*age_step + female + renal + extracardiac_arteriopathy + poor_mobility + previous_cardiac_surgery + chronic_lung_disease + active_endocarditis + critical_preoperative_state + insulin_dependent_diabetes + nyha + ccs_class_4 + lv_function + recent_mi + pulmonary_hypertension + urgency + weight_of_procedure + thoracic_aorta (Nashef 2012 Table 6 multivariable); age_step = 1 if age <= 60 else (age - 59); female 0.2196434; renal cc_gt_85 0, cc_51_85 0.303553, cc_le_50 0.8592256, dialysis 0.6421508; extracardiac_arteriopathy 0.5360268; poor_mobility 0.2407181; previous_cardiac_surgery 1.118599; chronic_lung_disease 0.1886564; active_endocarditis 0.6194522; critical_preoperative_state 1.086517; insulin_dependent_diabetes 0.3542749; nyha 1 0, 2 0.1070545, 3 0.2958358, 4 0.5597929; ccs_class_4 0.2226147; lv_function good 0, moderate 0.3150652, poor 0.8084096, very_poor 0.9346919; recent_mi 0.1528943; pulmonary_hypertension none 0, moderate 0.1788899, severe 0.3491475; urgency elective 0, urgent 0.3174673, emergency 0.7039121, salvage 1.362947; weight_of_procedure isolated_cabg 0, single_non_cabg 0.0062118, two 0.5521478, three_plus 0.9724533; thoracic_aorta 0.6527205; estimated_probability_percent = 100 * exp(y) / (1 + exp(y))",
      "sex": "male",
      "chronic_lung_disease": false,
      "estimated_probability_percent": 0.5,
      "logit": -5.296,
      "age_step": 1,
      "active_endocarditis": false,
      "ccs_class_4": false,
      "critical_preoperative_state": false,
      "extracardiac_arteriopathy": false,
      "insulin_dependent_diabetes": false,
      "lv_function": "good",
      "nyha": 1,
      "poor_mobility": false,
      "previous_cardiac_surgery": false,
      "pulmonary_hypertension": "none",
      "recent_mi": false,
      "renal": "cc_gt_85",
      "thoracic_aorta": false,
      "urgency": "elective",
      "weight_of_procedure": "isolated_cabg"
    },
    {
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "age_years": 60,
      "citation": {
        "authors": "Nashef SAM, Roques F, Sharples LD, Nilsson J, Smith C, Goldstone AR, Lockowandt U",
        "doi": "10.1093/ejcts/ezs043",
        "id": "nashef-2012",
        "pmid": "22378855",
        "source": "Eur J Cardiothorac Surg. 2012;41(4):734-745",
        "title": "EuroSCORE II"
      },
      "formula": "euroscore_ii",
      "formula_expression": "y = -5.324537 + 0.0285181*age_step + female + renal + extracardiac_arteriopathy + poor_mobility + previous_cardiac_surgery + chronic_lung_disease + active_endocarditis + critical_preoperative_state + insulin_dependent_diabetes + nyha + ccs_class_4 + lv_function + recent_mi + pulmonary_hypertension + urgency + weight_of_procedure + thoracic_aorta (Nashef 2012 Table 6 multivariable); age_step = 1 if age <= 60 else (age - 59); female 0.2196434; renal cc_gt_85 0, cc_51_85 0.303553, cc_le_50 0.8592256, dialysis 0.6421508; extracardiac_arteriopathy 0.5360268; poor_mobility 0.2407181; previous_cardiac_surgery 1.118599; chronic_lung_disease 0.1886564; active_endocarditis 0.6194522; critical_preoperative_state 1.086517; insulin_dependent_diabetes 0.3542749; nyha 1 0, 2 0.1070545, 3 0.2958358, 4 0.5597929; ccs_class_4 0.2226147; lv_function good 0, moderate 0.3150652, poor 0.8084096, very_poor 0.9346919; recent_mi 0.1528943; pulmonary_hypertension none 0, moderate 0.1788899, severe 0.3491475; urgency elective 0, urgent 0.3174673, emergency 0.7039121, salvage 1.362947; weight_of_procedure isolated_cabg 0, single_non_cabg 0.0062118, two 0.5521478, three_plus 0.9724533; thoracic_aorta 0.6527205; estimated_probability_percent = 100 * exp(y) / (1 + exp(y))",
      "sex": "male",
      "chronic_lung_disease": false,
      "estimated_probability_percent": 0.5,
      "logit": -5.296,
      "age_step": 1,
      "active_endocarditis": false,
      "ccs_class_4": false,
      "critical_preoperative_state": false,
      "extracardiac_arteriopathy": false,
      "insulin_dependent_diabetes": false,
      "lv_function": "good",
      "nyha": 1,
      "poor_mobility": false,
      "previous_cardiac_surgery": false,
      "pulmonary_hypertension": "none",
      "recent_mi": false,
      "renal": "cc_gt_85",
      "thoracic_aorta": false,
      "urgency": "elective",
      "weight_of_procedure": "isolated_cabg"
    }
  ]
}

Response

Example JSON

Machine form of the same example. Frozen fixture. Not a live lookup.

{
  "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
  "age_years": 60,
  "citation": {
    "authors": "Nashef SAM, Roques F, Sharples LD, Nilsson J, Smith C, Goldstone AR, Lockowandt U",
    "doi": "10.1093/ejcts/ezs043",
    "id": "nashef-2012",
    "pmid": "22378855",
    "source": "Eur J Cardiothorac Surg. 2012;41(4):734-745",
    "title": "EuroSCORE II"
  },
  "formula": "euroscore_ii",
  "formula_expression": "y = -5.324537 + 0.0285181*age_step + female + renal + extracardiac_arteriopathy + poor_mobility + previous_cardiac_surgery + chronic_lung_disease + active_endocarditis + critical_preoperative_state + insulin_dependent_diabetes + nyha + ccs_class_4 + lv_function + recent_mi + pulmonary_hypertension + urgency + weight_of_procedure + thoracic_aorta (Nashef 2012 Table 6 multivariable); age_step = 1 if age <= 60 else (age - 59); female 0.2196434; renal cc_gt_85 0, cc_51_85 0.303553, cc_le_50 0.8592256, dialysis 0.6421508; extracardiac_arteriopathy 0.5360268; poor_mobility 0.2407181; previous_cardiac_surgery 1.118599; chronic_lung_disease 0.1886564; active_endocarditis 0.6194522; critical_preoperative_state 1.086517; insulin_dependent_diabetes 0.3542749; nyha 1 0, 2 0.1070545, 3 0.2958358, 4 0.5597929; ccs_class_4 0.2226147; lv_function good 0, moderate 0.3150652, poor 0.8084096, very_poor 0.9346919; recent_mi 0.1528943; pulmonary_hypertension none 0, moderate 0.1788899, severe 0.3491475; urgency elective 0, urgent 0.3174673, emergency 0.7039121, salvage 1.362947; weight_of_procedure isolated_cabg 0, single_non_cabg 0.0062118, two 0.5521478, three_plus 0.9724533; thoracic_aorta 0.6527205; estimated_probability_percent = 100 * exp(y) / (1 + exp(y))",
  "sex": "male",
  "chronic_lung_disease": false,
  "estimated_probability_percent": 0.5,
  "logit": -5.296,
  "age_step": 1,
  "active_endocarditis": false,
  "ccs_class_4": false,
  "critical_preoperative_state": false,
  "extracardiac_arteriopathy": false,
  "insulin_dependent_diabetes": false,
  "lv_function": "good",
  "nyha": 1,
  "poor_mobility": false,
  "previous_cardiac_surgery": false,
  "pulmonary_hypertension": "none",
  "recent_mi": false,
  "renal": "cc_gt_85",
  "thoracic_aorta": false,
  "urgency": "elective",
  "weight_of_procedure": "isolated_cabg"
}

Client errors (HTTP 400)

Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.

Related tools

• ACEF II — Compute the Ranucci 2018 ACEF II score from age, left-ventricular ejection fraction, serum creatinine, emergency surgery, and hematocrit.

Payment

Unpaid requests return HTTP 402 even if query parameters or POST items are missing or invalid, so CDP and agents can index the path. After a PAYMENT-SIGNATURE, invalid params return HTTP 400 JSON before settlement. magent does not charge. Fix the params, then request a new 402 quote for that complete URL. Catalog misses (empty matches, found=false) are valid paid 200s. Unpaid valid requests return HTTP 402 with a base64 PAYMENT-REQUIRED header. HTTP 503 is not a new quote: retry the same PAYMENT-SIGNATURE. Full handshake and shared payment errors: Payments. Stdio MCP: /docs/mcp.

Guarantees

• HTTP 402 is unpaid, including a missing query. After PAYMENT-SIGNATURE, invalid parameters return HTTP 400 before settlement. You are not charged. HTTP 402 never includes the tool JSON.
• exact: settlement finishes before the tool (paymentFlow upfront). batch-settlement: verify/deposit before the tool; chargedCumulativeAmount commits after HTTP 2xx. Uncertain or failed settlement fails closed (HTTP 503). Retry the same PAYMENT-SIGNATURE.
• HTTP 402 is unpaid only. Do not sign a second authorization because of a 503.
• Execution is timeout-bounded and concurrency-capped.
• Calculator inputs are stored encrypted for allowlisted operators (Magent Console). They are not in public logs, SSH lookups, catalog, or rollups. Request logs store path without query.