Peripheral Vascular Disease Surgery Risk Assessment Medical Algorithm

Are you evaluating a patient for peripheral vascular surgery?

Yes

Age

years

Does the patient have a diabetes mellitus?

Yes

Does the patient have a history of angina?

Yes

Does the patient have congestive heart failure?

Yes

Does the patient have a history of previous myocardial infarction?

Yes

Has the patient had a previous coronary artery bypass procedure?

Yes

Number of years from bypass

Complication rate for institution (enter from 0 to 100)

percent

Findings on Dipyridamole-Thallium Testing

• ischemic ST changes in ECG?

Yes

• fixed defect on scan?

Yes

• reversible defect on scan?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Clinical risk score

Dipyridamole Thallium risk score

Initial estimate for perioperative event

Final estimate of perioperative event

Cardiac risk during periopreative period

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Other Testing
- Preoperative Clinical Severity Score of Higgins et al in Coronary Artery Bypass Patients
Severity, Prognosis, Stage
Complications

Therapy

Selection
Surgery
- Simplified Clinical Risk Scoring System for Morbidity after Cardiac Surgery

Monitoring

Adverse Effects
- CABG Risk of Adverse Outcomes Clinical Prediction Rule
- Model for Predicting Vascular Surgery Perioperative Mortality
Complication Detection
- Simplified Clinical Risk Scoring System for Morbidity after Cardiac Surgery

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Peripheral Vascular Disease Surgery Risk Assessment

Purpose: To use the Bayesian risk method of L'Italien et al to assess perioperative cardiac risk in a patient undergoing surgery for peripheral vascular disease.

Evaluation

Results

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Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10