Formulas for Predicting 30-Day Surgical Mortality

Purpose: To evaluate a surgical patient for the risk of 30 day mortality using the formulas of Aust et al based on the 1997 VA NSQIP.

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Evaluation

Are you evaluating a surgical patient?

Yes

Age of the patient

years

Does the patient have cancer?

Yes

Is the surgery performed as an emergency?

Yes

VA operative complexity grade (enter from 1 to 5)

Serum albumin

Serum BUN

WBC count

ASA classification

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Value of X (1997 VA NSQIP)

Probability of 30 day mortality based on X

Value of Y (without operative complexity)

Probability of 30 day mortality based on Y

Value of Z (with operative complexity)

Probability of 30 day mortality based on Z

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Classification for Complexity of Surgical Procedure
Severity, Prognosis, Stage

Therapy

Options
- Diabetic Patient Having Ambulatory Surgery | Management
Dosage Calculations
- Categories to Determine If Patient Is Unfit for General Anesthesia and/or Major Surgery
Administration
- Categories to Determine If Patient Is Unfit for General Anesthesia and/or Major Surgery
Surgery

Monitoring

Compliance/adherence
- Preoperative Smoking and Drinking Cessation
Complication Detection
- Modification of the Anesthetic Risk Assessment by Peter and Lutz

Societal Concerns

Public Health
- Preoperative Smoking and Drinking Cessation
- Preoperative Checklist for Geriatric Patient

Specialty

Anesthesiology

Objective

severity
prognosis
stage

ICD-10

R57 - Shock, not elsewhere classified

Info

Purpose: To evaluate a surgical patient for the risk of 30 day mortality using the formulas of Aust et al based on the 1997 VA NSQIP.

Specialty: Anesthesiology

Objective: severity, prognosis, stage

ICD-10: R57,

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