PREDICTION SCORE IN SURGICAL COMPLICATIONS ESTIMATION IN THE PRACTICE OF INTERNIST
https://doi.org/10.15829/1728-8800-2018-2-75-80
Abstract
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.
About the Authors
D. P. Kotova
N. I. Pirogov City Clinical Hospital № 1; N. I. Pirogov Russian National Research Medical University (RNRMU)
Russian Federation
Russian Federation
Moscow
S. V. Kotov
N. I. Pirogov City Clinical Hospital № 1; N. I. Pirogov Russian National Research Medical University (RNRMU)
Russian Federation
Russian Federation
Moscow
M. Yu. Gilyarov
N. I. Pirogov City Clinical Hospital № 1; I. M. Sechenov First Moscow State Medical University of the Ministry of Health
Russian Federation
Russian Federation
Moscow
V. S. Shemenkova
N. I. Pirogov City Clinical Hospital № 1; N. I. Pirogov Russian National Research Medical University (RNRMU)
Russian Federation
Russian Federation
Moscow
References
1. Devereaux PJ, Sessler DI. Cardiac complications in patients undergoing major noncardiac surgery. N Engl J Med 2015; 373: 225869. DOI: 10.1056/NEJMra1502824.
2. Kristensen SD, Knuuti J, Saraste A, et al. 2014 ESC/ESA Guidelines on noncardiac surgery: cardiovascular assessment and management. The Joint Task Force on noncardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA). Eur Heart J 2014; 35: 2383431. DOI: 10.1093/eurheartj/ehu282.
3. Fleisher LA, Fleischmann KE, Auerbach AD, et al. 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery. A Report of the American College of Cardiology/American Heart Association Task Force on practice guidelines developed in collaboration with the American College of Surgeons, American Society of Anesthesiologists, American Society of Echocardiography, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, and Society of Cardiovascular Anesthesiologists. J Nucl Cardiol 2015; 22: 162215. DOI: 10.1007/s123500140025z.
4. Mureddu GF. Current multivariate risk scores in patients undergoing noncardiac surgery. Monaldi Arch Chest Dis 2017; 87: 1620. DOI: 10.4081/monaldi.2017.848.
5. Goldman L, Caldera DL, Nussbaum SR, et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med 1977; 297: 84550. DOI: 10.1056/NEJM197710202971601.
6. Detsky AS, Abrams HB, McLaughlin JR, et al. Predicting cardiac complications in patients undergoing noncardiac surgery. J Gen Intern Med 1986; 1: 2119.
7. Lee TH, Marcantonio ER, Mangione CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 1999; 100: 10439.
8. Davis C, Tait G, Carroll J, et al. The Revised Cardiac Risk Index in the new millennium: a singlecentre prospective cohort reevaluation of the original variables in 9,519 consecutive elective surgical patients. Can J Anaesth 2013; 60: 85563. DOI: 10.1007/s1263001399885.
9. Cohn SL. Updated guidelines on cardiovascular evaluation before noncardiac surgery: A view from the trenches. Cleve Clin J Med 2014; 81 (12): 74251. DOI: 10.3949/ccjm.81a.14148.
10. Ford M, Beattie WS, Wijeysundera DN. Systematic Review: Prediction of Perioperative Cardiac Complications and Mortality by the Revised Cardiac Risk Index. Ann Intern Med 2010; 152: 2635. DOI: 10.7326/00034819152120100105000007.
11. Gupta PK, Gupta H, Sundaram A, et al. Development and validation of a risk calculator for prediction of cardiac risk after surgery. Circulation 2011; 124: 3817. DOI: 10.1161/CIRCULATIONAHA.110.015701.
12. Samoylenko VV, Shevchenko OP. Evolution of the concept of assessing the risk of developing cardiovascular complications in the perioperative period. Ter Archiv 2014; 4: 96102. (In Russ.)
13. Bilimoria KY, Liu Y, Paruch JL, et al. Development and evaluation of the Universal ACS NSQIP Surgical Risk Calculator: a decision aid and informed consent tool for patients and surgeons. J Am Coll Surg 2013; 217: 83342. DOI: 10.1016/j.jamcollsurg.2013.07.385.
14. Copeland GP, Jones D, Walters M. POSSUM: A scoring system for surgical audit. Br J Surg 1991; 78: 35560.
15. Brooks MJ, Sutton R, Sarin S. Comparison of Surgical Risk Score. POSSUM and PPOSSUM in higherrisk surgical patients. Br J Surg 2005; 92: 10: 128892. DOI: 10.1002/bjs.5058.
16. Kazanchian PO, Popov VA, Sotnikov PG, et al. Surgical tactics in patients with aneurysm of the abdominal aorta and ischemic heart disease. Thoracic and cardiovascular surg. 2008; 2: 305. (in Russ.)
17. Biccard BM, Rodseth RN. Utility of clinical risk predictors for preoperative cardiovascular risk prediction. Br J Anaesthesia 2011; 107 (2): 13343. DOI: 10.1093/bja/aer194.
Review
For citations:
Kotova D.P., Kotov S.V., Gilyarov M.Yu., Shemenkova V.S. PREDICTION SCORE IN SURGICAL COMPLICATIONS ESTIMATION IN THE PRACTICE OF INTERNIST. Cardiovascular Therapy and Prevention. 2018;17(2):75-80. (In Russ.) https://doi.org/10.15829/1728-8800-2018-2-75-80
Views:
1074
Email this article 
