Revised Cardiac Risk Index: Difference between revisions
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The '''Revised Cardiac Risk Index''' is a [[clinical prediction rule]] for use during [[preoperative care]] for prediction major cardiac complications of noncardiac surgery.<ref name="pmid10477528">{{cite journal |author=Lee TH, Marcantonio ER, Mangione CM, ''et al'' |title=Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery |journal=Circulation |volume=100 |issue=10 |pages=1043–9 |year=1999 |pmid=10477528 |doi= |issn=|url=http://circ.ahajournals.org/cgi/content/full/100/10/1043}}</ref> The original index was published in 1977.<ref name="pmid904659">{{cite journal |author=Goldman L, Caldera DL, Nussbaum SR, ''et al'' |title=Multifactorial index of cardiac risk in noncardiac surgical procedures |journal=N. Engl. J. Med. |volume=297 |issue=16 |pages=845–50 |year=1977 |month=October |pmid=904659 |doi= |url= |issn=}}</ref> | The '''Revised Cardiac Risk Index''' (RCRI) is a [[clinical prediction rule]] for use during [[preoperative care]] for prediction major cardiac complications of noncardiac surgery.<ref name="pmid10477528">{{cite journal |author=Lee TH, Marcantonio ER, Mangione CM, ''et al'' |title=Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery |journal=Circulation |volume=100 |issue=10 |pages=1043–9 |year=1999 |pmid=10477528 |doi= |issn=|url=http://circ.ahajournals.org/cgi/content/full/100/10/1043}}</ref> The original index was published in 1977.<ref name="pmid904659">{{cite journal |author=Goldman L, Caldera DL, Nussbaum SR, ''et al'' |title=Multifactorial index of cardiac risk in noncardiac surgical procedures |journal=N. Engl. J. Med. |volume=297 |issue=16 |pages=845–50 |year=1977 |month=October |pmid=904659 |doi= |url= |issn=}}</ref> | ||
The component of the Index are: | The component of the Index are: | ||
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* 2 risk factor - 7% | * 2 risk factor - 7% | ||
* 3 or more risk factors - 11% | * 3 or more risk factors - 11% | ||
The RCRI has been validated among patients undergoing surgery for [[peripheral arterial disease]].<ref name="pmid19376487">{{cite journal |author=Hoeks SE, op Reimer WJ, van Gestel YR, ''et al.'' |title=Preoperative cardiac risk index predicts long-term mortality and health status |journal=Am. J. Med. |volume=122 |issue=6 |pages=559–65 |year=2009 |month=June |pmid=19376487 |doi=10.1016/j.amjmed.2008.10.041 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-9343(09)00101-6 |issn=}}</ref> | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 02:11, 15 June 2009
The Revised Cardiac Risk Index (RCRI) is a clinical prediction rule for use during preoperative care for prediction major cardiac complications of noncardiac surgery.[1] The original index was published in 1977.[2]
The component of the Index are:
- high-risk surgery (intraperitoneal, intrathoracic, or vascular surgery above the inguinal ligaments). See prognosis by surgery type.
- history of ischemic heart disease
- history of congestive heart failure
- history of cerebrovascular disease
- preoperative treatment with insulin
- preoperative serum creatinine >2.0 mg/dL
The risk of major cardiac complications based on the number of risk factors are:
- 0 risk factor - 0.4%
- 1 risk factor - 0.9%
- 2 risk factor - 7%
- 3 or more risk factors - 11%
The RCRI has been validated among patients undergoing surgery for peripheral arterial disease.[3]
References
- ↑ Lee TH, Marcantonio ER, Mangione CM, et al (1999). "Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery". Circulation 100 (10): 1043–9. PMID 10477528. [e]
- ↑ Goldman L, Caldera DL, Nussbaum SR, et al (October 1977). "Multifactorial index of cardiac risk in noncardiac surgical procedures". N. Engl. J. Med. 297 (16): 845–50. PMID 904659. [e]
- ↑ Hoeks SE, op Reimer WJ, van Gestel YR, et al. (June 2009). "Preoperative cardiac risk index predicts long-term mortality and health status". Am. J. Med. 122 (6): 559–65. DOI:10.1016/j.amjmed.2008.10.041. PMID 19376487. Research Blogging.