Geriatric-Sensitive Perioperative Cardiac Risk Index (GSCRI) of Alrezk et al

Description

Alrezk et al reported the Geriatric-Sensitive Perioperative Cardiac Risk Index (GCSRI) for an older adult undergoing noncardiac surgery. This can help to identify a patient who may benefit from more aggressive management. The authors are from the University of California at Los Angeles (UCLA).

Patient selection: >= 65 years of age

Outcome: myocardial infarction or cardiac arrest (MICA)

Parameters:

(1) stroke

(2) ASA class

(3) surgical category

(4) functional status

(5) serum creatinine in mg/dL

(6) history of congestive heart failure

(7) diabetes mellitus

Parameter	Finding	Points
stroke	no	0
	yes	2.08
ASA class	ASA 1	0
	ASA 2	0.28
	ASA 3	1.34
	ASA 4	2.04
	ASA 5	3.63
surgical category	hernia	0
	anorectal	1.02
	aortic	1.32
	bariatric	0.31
	brain	0.24
	breast	-1.14
	ENT	0.32
	foregut, hepatic, pancreatic, biliary	1.03
	gallbladder, appendix, spleen, adrenal, intestine	1.13
	neck	-0.04
	OB-GYN	0.12
	orthopedic	0.47
	other abdominal	0.16
	peripheral vascular	0.82
	skin	0.41
	spine	0.42
	thoracic	1.06
	vein	1.35
	urology	0.55
functional status	independent	0
	partially dependent	0.23
	totally dependent	0.72
serum creatinine	< 1.5 mg/dL	0
	>= 1.5 mg/dL	0.57
	missing	-0.41
CHF	no	0
	yes	0.60
diabetes	no	0
	yes, not insulin dependent	0.09
	yes, insulin dependent	0.47

X =

= SUM(points for all of the parameters) - 6.79

probability of cardiac complication =

= 1 / (1 + EXP((-1) * X))

Performance:

• The area under the ROC curve is 0.76.

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Geriatric-Sensitive Perioperative Cardiac Risk Index (GSCRI) of Alrezk et al

Description

Specialty