Revised Cardiac Risk Index: Difference between revisions
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imported>Robert Badgett No edit summary |
imported>Robert Badgett No edit summary |
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* history of congestive heart failure | * history of congestive heart failure | ||
* history of cerebrovascular disease | * history of cerebrovascular disease | ||
* preoperative treatment with insulin | |||
* preoperative serum creatinine >2.0 mg/dL | |||
The risk of major cardiac complications based on the number of risk factors are: | The risk of major cardiac complications based on the number of risk factors are: | ||
Revision as of 16:47, 28 January 2009
The Revised Cardiac Risk Index is a clinical prediction rule for use during preoperative care for prediction major cardiac complications of noncardiac surgery.[1] The original index was published in 1977.[2]
The component of the Index are:
- high-risk surgery (intraperitoneal, intrathoracic, or vascular surgery above the inguinal ligaments). See prognosis by surgery type.
- history of ischemic heart disease
- history of congestive heart failure
- history of cerebrovascular disease
- preoperative treatment with insulin
- preoperative serum creatinine >2.0 mg/dL
The risk of major cardiac complications based on the number of risk factors are:
- 0 risk factor - 0.4%
- 1 risk factor - 0.9%
- 2 risk factor - 7%
- 3 or more risk factors - 11%
References
- ↑ Lee TH, Marcantonio ER, Mangione CM, et al (1999). "Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery". Circulation 100 (10): 1043–9. PMID 10477528. [e]
- ↑ Goldman L, Caldera DL, Nussbaum SR, et al (October 1977). "Multifactorial index of cardiac risk in noncardiac surgical procedures". N. Engl. J. Med. 297 (16): 845–50. PMID 904659. [e]