Glance et al develed the the Surgical Mortality Probability Model (S-MPM) to predict 30-day mortality following non-cardiac surgery. The authors are from the University of Rochester.
Patient selection: non-cardiac surgery
Parameters:
(1) ASA physical status
(2) risk level for the procedure
(3) emergency surgery
|
Parameter |
Finding |
Points |
|
ASA physical status |
I |
0 |
|
|
II |
2 |
|
|
III |
4 |
|
|
IV |
5 |
|
|
V |
6 |
|
risk level for the procedure |
low |
0 |
|
|
intermediate |
1 |
|
|
high |
2 |
|
emergency surgery |
no |
0 |
|
|
yes |
1 |
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• The higher the score the greater the 30-day mortality.
|
Score |
30-Day Mortality |
|
0 to 4 |
< 0.5% |
|
5 or 6 |
1.5 to 4% |
|
7 to 9 |
> 10% |
Specialty: Anesthesiology
ICD-10: ,
