Cromhout Pernille F, Moons Philip, Thygesen Lau C, Nashef Samer, Damgaard Sune, Berg Selina Kikkenborg
1 Department of Thoracic Anaesthesiology, Rigshospitalet, Copenhagen University Hospital, Denmark.
2 Department of Public Health and Primary Care, KU Leuven - University of Leuven, Belgium.
Eur J Cardiovasc Nurs. 2018 Dec;17(8):760-766. doi: 10.1177/1474515118783835. Epub 2018 Jun 13.
Risk assessment in cardiac surgery traditionally consists of medical and physiological parameters. However, non-physiological factors have also been found to be predictive of poor outcomes following cardiac surgery. Therefore, the isolated focus on physiological parameters is questionable. This paper describes the emotional, behavioural, social and functional factors that have been established to play a role in outcomes following cardiac surgery. This forms a basis for future research, testing the value of these factors above and beyond the physiological parameters. By including such non-physiological factors, the accuracy of the existing risk scoring systems could potentially be improved.
传统上，心脏手术中的风险评估由医学和生理参数组成。然而，人们也发现非生理因素可预测心脏手术后的不良结局。因此，单纯关注生理参数是有问题的。本文描述了已被证实对心脏手术后结局有影响的情绪、行为、社会和功能因素。这为未来的研究奠定了基础，即检验这些因素在生理参数之外的价值。通过纳入此类非生理因素，现有风险评分系统的准确性可能会得到提高。
