Mir Wasey Ali Yadullahi, Fiumara Francesco, Shrestha Dhan B, Gaire Suman, Verda Larissa
Department of Internal Medicine, Mount Sinai Hospital, Chicago, USA.
Department of Internal Medicine, University of Miami Palm Beach, Atlantis, USA.
Cureus. 2021 Aug 10;13(8):e17054. doi: 10.7759/cureus.17054. eCollection 2021 Aug.
The most commonly used preoperative assessment tools include the American College of Surgeons National Surgical Quality Improvement Program and the Revised Cardiac Risk Index. These tools seek to predict the risk of an individual experiencing postoperative complications, including but not limited to mortality, myocardial infarction, pneumonia, stroke, venous thromboembolism, and pneumonia. Many published studies have sought to objectively quantify the utility of the preoperative risk calculations by retrospectively compiling data for patients who underwent the same or comparable surgeries to compare actual complications to predicted complications. Therefore, we searched these studies to review the literature to draw more general conclusions and recommend which risk calculator is best for different types of surgeries.
最常用的术前评估工具包括美国外科医师学会国家外科质量改进计划和修订后的心脏风险指数。这些工具旨在预测个体发生术后并发症的风险,包括但不限于死亡、心肌梗死、肺炎、中风、静脉血栓栓塞和肺炎。许多已发表的研究试图通过回顾性收集接受相同或类似手术的患者数据,将实际并发症与预测并发症进行比较,从而客观地量化术前风险计算的效用。因此,我们检索了这些研究以回顾文献,得出更普遍的结论,并推荐哪种风险计算器最适用于不同类型的手术。