Halabe-Cherem J, Malagón J, Wacher-Rodarte N, Nellen-Hummel H, Talavera-Piña J
Departamento de Medicina Interna, Hospital de Especialidades Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, D.F.
Gac Med Mex. 1998 Jan-Feb;134(1):27-32.
This paper evaluates the usefulness of ASA physical status classification and the multifactorial index of cardiac risk in the preoperative assessment, without considering arterial blood gases. With the results of this study we propose to add the ASA physical status classification, the radiologic diagnosis of chronic obstructive pulmonary disease and the multifactorial index of cardiac risk. This strategy increases the diagnostic certainty of Goldman's index of cardiac risk, is practical, not expensive and favors a better establishment of the risk of perioperative cardiovascular morbidity.
本文评估了美国麻醉医师协会（ASA）身体状况分类和心脏风险多因素指数在术前评估中的有用性，未考虑动脉血气。基于本研究结果，我们建议增加ASA身体状况分类、慢性阻塞性肺疾病的放射学诊断以及心脏风险多因素指数。这一策略提高了戈德曼心脏风险指数的诊断确定性，具有实用性，成本不高，且有助于更好地确定围手术期心血管疾病的发病风险。
