cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2018-2-75-80cardiovascular-753Research ArticleМНЕНИЕ ПО ПРОБЛЕМЕOPINION ON A PROBLEMИСПОЛЬЗОВАНИЕ ПРОГНОСТИЧЕСКИХ ШКАЛ В ОЦЕНКЕ ПЕРИОПЕРАЦИОННЫХ ОСЛОЖНЕНИЙ В ПРАКТИКЕ ВРАЧАТЕРАПЕВТАPREDICTION SCORE IN SURGICAL COMPLICATIONS ESTIMATION IN THE PRACTICE OF INTERNISTКотоваД. П.KotovaD. P.

Котова Дарья Павловна — кандидат медицинских наук, заведующая терапевтическим отделением, доцент кафедры факультетской терапии им. акад. А. И. Нестерова РНИМУ им. Н.И. Пирогова

Moscow

doc.kotova@mail.ruКотовС. В.KotovS. V.

Котов Сергей Владиславович — доктор медицинских наук, профессор, заведующий урологическим отделением ГКБ  № 1 им. Н.И. Пирогова, зав. кафедрой урологии и андрологии лечебного факультета РНИМУ им. Н.И. Пирогова

Moscow

urokotov@mail.ruГиляровМ. Ю.GilyarovM. Yu.

Гиляров Михаил Юрьевич — доктор медицинских наук, профессор, заместитель главного врача по терапии ГКБ  № 1 им. Н.И. Пирогова, профессор кафедры профилактической и неотложной кардиологии ПМГМУ им. И. М. Сеченова

Moscow

gilarov@gmail.comШеменковаВ. С.ShemenkovaV. S.

Шеменкова Виктория Сергеевна — врач­терапевт ГКБ  № 1 им. Н.И. Пирогова, аспирант кафедры факультетской терапии им. акад. А. И. Нестерова РНИМУ им. Н.И. Пирогова.

Moscow

vshemenkova@mail.ruГБУЗ Городская клиническая больница № 1 им. Н.И. Пирогова ДЗ г. Москвы; ФГБОУ ВО Российский национальный исследовательский медицинский университет им. Н.И. Пирогова Минздрава РоссииN. I. Pirogov City Clinical Hospital № 1; N. I. Pirogov Russian National Research Medical University (RNRMU)ГБУЗ Городская клиническая больница № 1 им. Н.И. Пирогова ДЗ г. Москвы; ФГАОУ ВО Первый Московский государственный медицинский университет им. И. М. Сеченова Минздрава РоссииN. I. Pirogov City Clinical Hospital № 1; I. M. Sechenov First Moscow State Medical University of the Ministry of Health2018200420181727580Copyright © Котова Д.П., Котов С.В., Гиляров М.Ю., Шеменкова В.С., 20182018Котова Д.П., Котов С.В., Гиляров М.Ю., Шеменкова В.С.Kotova D.P., Kotov S.V., Gilyarov M.Y., Shemenkova V.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/753

Развитие медицины в настоящее время приводит к увеличению количества и сложности проводимых оперативных вмешательств, что объясняет высокую актуальность оценки развития риска послеоперационных осложнений и вероятность летального исхода, требует активного участия терапевта в ведении таких пациентов и коррекции назначенной терапии. В статье рассматриваются основные шкалы и индексы, применяемые в клинической практике для  прогнозирования возможных осложнений, в т. ч. кардиальных. Представлено подробное описание каждого калькулятора, возможности и ограничения его применения и интерпретации результатов.

Recently, development of medicine leads to the increase of the number and complexity of surgical interventions, explaining high significance of the risk assessments for post­surgical complications and probability of fatal outcome; this requires participation of internist in patients management with correction of therapy. The article is focused on the main scores and indexes utilized in clinical practice for prediction of possible complications, incl. cardial. A detailed description provided, for every calculator, features and limitations for usage and results interpretation.

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The authors declare that there are no conflicts of interest present.