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Respiratory Failure Following General & Vascular Surgery Risk Model

Purpose: To identify a patient at risk for respiratory failure following general or vascular surgery using the model of Johnson et al.

Evaluation

Are you evaluating a patient prior to general or vascular surgery?

Age of the patient

years

Gender of the patient

Work RVU for surgery

Body weight

Preoperative serum albumin

Preoperative serum creatinine

Preoperative serum total bilirubin

Preoperative serum sodium

Serum SGOT

U/L

Preoperative white blood cell count

Preoperative platelet count

Preoperative hematocrit (enter from 0 to 100)

percent

Does/Has the patient?

• have preoperative sepsis?

• undergoing emergency surgery?

• have a history of severe COPD?

• have a history of cerebrovascular accident or stroke without neurologic deficits?

• have a history of cerebrovascular accident or stroke with neurologic deficits?

• smoke?

• have dyspnea?

• have ascites?

• have an impaired sensorium?

• have congestive heart failure in the past month?

• have a bleeding disorder?

• have acute renal failure prior to surgery?

• averaged more than 2 alcoholic drinks per day during the past 2 weeks?

Is the surgical wound class clean?

Select an appropriate answer for each finding

ASA class

Type of surgery

Results

Please fill out required fields.

Specialty

Objective

ICD-10