Friedman listed several risk factors associated with perioperative morbidity and mortality in patients with obstructive jaundice. The author is from Massachusetts General Hospital.
Parameters:
(1) hematocrit
(2) serum bilirubin
(3) etiology for obstructive jaundice
(4) renal function
(5) serum albumin
(6) cholangitis
|
Parameter |
Finding |
Points |
|
hematocrit |
>= 30% |
0 |
|
|
< 30% |
1 |
|
serum bilirubin |
<= 11 mg/dL |
0 |
|
|
> 11 mg/dL |
1 |
|
etiology for obstructive jaundice |
nonmalignant |
0 |
|
|
malignant |
1 |
|
renal function |
azotemia absent |
0 |
|
|
azotemia present (elevated BUN) |
1 |
|
serum albumin |
normal |
0 |
|
|
hypoalbuminemia |
1 |
|
cholangitis |
absent |
0 |
|
|
present |
1 |
total number of risk factors =
= SUM(points for all 6 risk factors)
Interpretation:
• minimum number of risk factors: 0
• maximum number of risk factors: 6
• The greater the number of risk factors the greater the perioperative morbidity and mortality for the patient.
Specialty: Gastroenterology, Surgery, general, Surgery, orthopedic
ICD-10: ,
