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Simple Postoperative AKI Risk (SPARK) Classification before Noncardiac Surgery: A Prediction Index Development Study with External Validation.非心脏手术患者术后急性肾损伤风险（SPARK）简易分类：一项具有外部验证的预测指标开发研究。
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Non-Hepatic Abdominal Surgery in Patients with Cirrhotic Liver Disease.肝硬化患者的非肝脏腹部手术。
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5
AGA Clinical Practice Update on Surgical Risk Assessment and Perioperative Management in Cirrhosis: Expert Review.美国胃肠病学会关于肝硬化手术风险评估和围手术期管理的临床实践更新：专家综述
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6
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8
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10
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围手术期肺部、肾脏、肝胆、血液和手术部位感染风险评估的工具和评分：更新。

Tools and scores for perioperative pulmonary, renal, hepatobiliary, hematological, and surgical site infection risk assessment: an update.

机构信息

- Universidade Federal de Minas Gerais - Belo Horizonte - MG - Brasil.

- Faculdade Ciências Médicas de Minas Gerais - Belo Horizonte - MG -Brasil.

出版信息

Rev Col Bras Cir. 2022 Jul 15;49:e20223125. doi: 10.1590/0100-6991e-20223125-en. eCollection 2022.

DOI:10.1590/0100-6991e-20223125-en
PMID:35858034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10578803/
Abstract

INTRODUCTION

perioperative risk assessment is essential to mitigate surgical complications, which suggests individual and collective interest since the number of surgical procedures in Brazil has been expanding steadily. The aim of this study was to summarize and detail the main calculators, indexes and scores regarding perioperative pulmonary, renal, hepatobiliary, hematological and surgical site infection risks for general non-cardiac surgeries, which are dispersed in the literature.

METHOD

a narrative review was performed based on manuscripts in English and Portuguese found in the electronic databases Pubmed/MEDLINE and EMBASE.

RESULTS

the review included 11 tools related to the systems covered, for which the application method and its limitations are detailed.

CONCLUSION

the non-cardiovascular perioperative risk estimation tools are beneficial when disturbances are identified in the preoperative clinical examination that justify a possible increased risk to the affected system, so the use of these tools provides palpable values to aid in the judgment of surgical risk and benefit as well as it identifies factors amenable to intervention to improve outcomes.

摘要

简介

围手术期风险评估对于减轻手术并发症至关重要，这表明了个体和集体的利益，因为巴西的手术数量一直在稳步增长。本研究的目的是总结和详细介绍围手术期肺部、肾脏、肝胆、血液和手术部位感染风险的主要计算器、指标和评分，这些内容分散在文献中。

方法

基于在电子数据库 Pubmed/MEDLINE 和 EMBASE 中发现的英文和葡萄牙文手稿进行叙述性综述。

结果

综述包括 11 种与所涵盖系统相关的工具，详细说明了每种工具的应用方法及其局限性。

结论

当术前临床检查中发现可能使受影响系统的风险增加的情况时，非心血管围手术期风险评估工具是有益的，因此使用这些工具可以提供切实可行的数值，以帮助判断手术风险和获益，同时还可以确定可干预的因素，以改善结果。