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    • Heart and Chest - Cardiac Risk Index in Noncardiac Surgery (Detsky et. al.)

    Cardiac Risk Index in Noncardiac Surgery (Detsky et. al.)

    Select Criteria:
    Coronary Artery Disease
    Myocardial infarction
    No history (0 points)
    Within 6 months (10 points)
    Beyond 6 months (5 points)
    Canadian Cardiovascular Society Angina
    Class I - II (0 points)
    Class III (10 points)
    Class IV (20 points)
    Unstable angina within 3 months (10 points)
    Pulmonary Edema
    Never (0 points)
    Within 1 week (10 points)
    Ever (5 points)
    Valvular Disease
    Possible aortic stenosis of a critical nature (20 points)
    Arrhythmias
    Abnormal heart rhythm (other than sinus with premature atrial beats) (5 points)
    5 or more PVC's / min (5 points)
    General Medical Conditions
    PO2 < 60; PCO2 > 50; K < 3; HCO3 < 20; BUN > 50; Creat > 3; elevated SGOT; chronic liver disease; bedridden (5 points)
    Operation
    Emergency (10 points)
    Age
    Age > 70 (5 points)
    Results: Total Criteria Point Count:
    Risk Index
    0-5 Points:Class I 6% Complications
    6-12 Points:Class II 7% Complications
    13-25 Points:Class III 20% Complications
    26-100 Points:Class IV 100% Complications
    1. Detsky AS, Abrams HB, McLaughlin JR, et. al. Predicting cardiac complications in patients undergoing noncardiac surgery. J Gen Int Med. 1:211, 1986.
    2. Detsky AS, Abrams HB, Forbath N, et. al. Cardiac assessment for patients undergoing noncardiac surgery. Arch Intern Med. 146:2131, 1986.
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