A group of high-risk surgical patients experience a much higher morbidity and mortality compared to a low-risk patient. The authors are from Queen Mary’s School of Medicine and Denistry, St. George’s Hospital, CHKS Ltd (Alcester), and the Intensive Care National Audit & Research Centre in England.
Predictors identifying a high-risk surgical patient:
(1) advanced age
(2) emergency surgery
(3) complex surgery
(4) multiple comorbid conditions
where:
• The age of the standard population was 38 to 69 years vs 63 to 83 years in the high-risk population. An age >= 65 years will be used in the implementation.
The risk for the patient increased with the number of high-risk predictors present.
The highest mortality rate occurred in patients admitted to the ICU following initial preoperative care on a hospital ward.
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