ACS NSQIP Surgical Risk Calculator and Lee and ACP/Detsky IRCR scores: preoperative cardiovascular assessment
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Health Residencies Journal (HRJ) |
Texto Completo: | https://escsresidencias.emnuvens.com.br/hrj/article/view/385 |
Resumo: | Introduction: preoperative and postoperative cardiac events are the major cause of morbidity and mortality in elective non-cardiac surgeries. Thus, preoperative cardiovascular risk stratification is essential to identify the risk and minimize its possible complications. Objective: to investigate the correlation between the ACS NSQIP Surgical Risk Calculator score and the traditionally used scores (ACP modified by Detsky and IRCR by Lee) in the preoperative outpatient assessment of cardiovascular risk in non-cardiac surgeries. Methods: Retrospective cross-sectional observational study with analysis of electronic records of patients seen at a multidisciplinary outpatient clinic of perioperative medicine and nursing in the period between January and December 2017. The cardiovascular risk score of Lee and ACP/Detsky already applied was correlated in the outpatient clinic with the cardiac risk obtained by the ACS NSQIP Surgical Risk Calculator. Results: A sample of 416 medical records was collected. Of these, 195 (47%) resulted in an equivalent risk between the two scores and 221 cases diverged in the results. A p<0.001 was obtained using the Wilcoxon test. Conclusions: There was a correlation between the ACS NSQIP Surgical Risk Calculator and the Lee and ACP/Detsky scores (p<0.001). |
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Health Residencies Journal (HRJ) |
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ACS NSQIP Surgical Risk Calculator and Lee and ACP/Detsky IRCR scores: preoperative cardiovascular assessmentACS NSQIP Surgical Risk Calculator e escores IRCR de Lee e ACP/Detsky: avaliação pré-operatória cardiovascularPeríodo PerioperatórioFatores de riscoÍndice de riscoPerioperative periodRisk factorsRisk indexIntroduction: preoperative and postoperative cardiac events are the major cause of morbidity and mortality in elective non-cardiac surgeries. Thus, preoperative cardiovascular risk stratification is essential to identify the risk and minimize its possible complications. Objective: to investigate the correlation between the ACS NSQIP Surgical Risk Calculator score and the traditionally used scores (ACP modified by Detsky and IRCR by Lee) in the preoperative outpatient assessment of cardiovascular risk in non-cardiac surgeries. Methods: Retrospective cross-sectional observational study with analysis of electronic records of patients seen at a multidisciplinary outpatient clinic of perioperative medicine and nursing in the period between January and December 2017. The cardiovascular risk score of Lee and ACP/Detsky already applied was correlated in the outpatient clinic with the cardiac risk obtained by the ACS NSQIP Surgical Risk Calculator. Results: A sample of 416 medical records was collected. Of these, 195 (47%) resulted in an equivalent risk between the two scores and 221 cases diverged in the results. A p<0.001 was obtained using the Wilcoxon test. Conclusions: There was a correlation between the ACS NSQIP Surgical Risk Calculator and the Lee and ACP/Detsky scores (p<0.001).Introdução: os eventos cardíacos pré e pós-operatórios são a maior causa de morbidade e mortalidade em cirurgias eletivas não cardíacas. Assim, a estratificação de risco cardiovascular pré operatória é essencial para identificar o risco e minimizar suas possíveis complicações. Objetivo: investigar a correlação entre o escore ACS NSQIP Surgical Risk Calculator e os escores tradicionalmente utilizados (ACP modificado por Detsky e IRCR por Lee) na avaliação ambulatorial pré-operatória do risco cardiovascular em cirurgias não cardíacas. Métodos: estudo observacional transversal retrospectivo com análise de registros eletrônicos de pacientes atendidos em um ambulatório multidisciplinar de medicina e enfermagem Perioperatória no período compreendido entre janeiro e dezembro de 2017. Correlacionou-se o escore de risco cardiovascular de Lee e ACP/Detsky já aplicado no ambulatório com o risco cardíaco obtido pela calculadora de risco ACS NSQIP Surgical Risk Calculator. Resultados: foi coletada uma amostra de 416 prontuários. Destes, 195 (47%) resultaram em risco equivalente entre os dois escores e 221 casos divergiram nos resultados. Obteve-se um p<0,001 através do teste de Wilcoxon. Conclusões: houve correlação entre o ACS NSQIP Surgical Risk Calculator e os escores de Lee e ACP/Detsky (p<0,001).Escola Superior de Ciências da Saúde2022-01-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://escsresidencias.emnuvens.com.br/hrj/article/view/38510.51723/hrj.v3i14.385Health Residencies Journal - HRJ; v. 3 n. 14 (2022): Atenção ao paciente em cuidados anestésicos e cirúrgicos no SUS do Distrito Federal; 148-1662675-2913reponame:Health Residencies Journal (HRJ)instname:Escola Superior de Ciências da Saúde (ESCS)instacron:ESCSporhttps://escsresidencias.emnuvens.com.br/hrj/article/view/385/270Copyright (c) 2022 Brenda Farias Cavalcante de Oliveira, Lauane Rocha Itacarambi, Jacqueline Ramos de Andrade Antunes Gomes, Glayson Carlos Miranda Verner, Ruth Silva Matos, Keila Monteiro de Araújo, Gleyce Mikaelle Costa Quirino, Priscila de Matos Bastos Oliveira, Taniela Marquez de Paula, Marisa Assis de Mendonça, Marcely Feitosa do Carmohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFarias Cavalcante de Oliveira, Brenda Rocha Itacarambi, Lauane Ramos de Andrade Antunes Gomes, JacquelineMiranda Verner, Glayson Carlos Silva Matos, Ruth Monteiro de Araújo, Keila Costa Quirino, Gleyce Mikaelle de Matos Bastos Oliveira, Priscila Marquez de Paula, Taniela Assis de Mendonça, Marisa Feitosa do Carmo, Marcely 2023-03-15T11:31:32Zoai:ojs.emnuvens.com.br:article/385Revistahttps://escsresidencias.emnuvens.com.br/hrjPUBhttps://escsresidencias.emnuvens.com.br/hrj/oaihrj@escs.edu.br || vanessacampos@escs.edu.br2675-29132675-2913opendoar:2023-03-15T11:31:32Health Residencies Journal (HRJ) - Escola Superior de Ciências da Saúde (ESCS)false |
dc.title.none.fl_str_mv |
ACS NSQIP Surgical Risk Calculator and Lee and ACP/Detsky IRCR scores: preoperative cardiovascular assessment ACS NSQIP Surgical Risk Calculator e escores IRCR de Lee e ACP/Detsky: avaliação pré-operatória cardiovascular |
title |
ACS NSQIP Surgical Risk Calculator and Lee and ACP/Detsky IRCR scores: preoperative cardiovascular assessment |
spellingShingle |
ACS NSQIP Surgical Risk Calculator and Lee and ACP/Detsky IRCR scores: preoperative cardiovascular assessment Farias Cavalcante de Oliveira, Brenda Período Perioperatório Fatores de risco Índice de risco Perioperative period Risk factors Risk index |
title_short |
ACS NSQIP Surgical Risk Calculator and Lee and ACP/Detsky IRCR scores: preoperative cardiovascular assessment |
title_full |
ACS NSQIP Surgical Risk Calculator and Lee and ACP/Detsky IRCR scores: preoperative cardiovascular assessment |
title_fullStr |
ACS NSQIP Surgical Risk Calculator and Lee and ACP/Detsky IRCR scores: preoperative cardiovascular assessment |
title_full_unstemmed |
ACS NSQIP Surgical Risk Calculator and Lee and ACP/Detsky IRCR scores: preoperative cardiovascular assessment |
title_sort |
ACS NSQIP Surgical Risk Calculator and Lee and ACP/Detsky IRCR scores: preoperative cardiovascular assessment |
author |
Farias Cavalcante de Oliveira, Brenda |
author_facet |
Farias Cavalcante de Oliveira, Brenda Rocha Itacarambi, Lauane Ramos de Andrade Antunes Gomes, Jacqueline Miranda Verner, Glayson Carlos Silva Matos, Ruth Monteiro de Araújo, Keila Costa Quirino, Gleyce Mikaelle de Matos Bastos Oliveira, Priscila Marquez de Paula, Taniela Assis de Mendonça, Marisa Feitosa do Carmo, Marcely |
author_role |
author |
author2 |
Rocha Itacarambi, Lauane Ramos de Andrade Antunes Gomes, Jacqueline Miranda Verner, Glayson Carlos Silva Matos, Ruth Monteiro de Araújo, Keila Costa Quirino, Gleyce Mikaelle de Matos Bastos Oliveira, Priscila Marquez de Paula, Taniela Assis de Mendonça, Marisa Feitosa do Carmo, Marcely |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Farias Cavalcante de Oliveira, Brenda Rocha Itacarambi, Lauane Ramos de Andrade Antunes Gomes, Jacqueline Miranda Verner, Glayson Carlos Silva Matos, Ruth Monteiro de Araújo, Keila Costa Quirino, Gleyce Mikaelle de Matos Bastos Oliveira, Priscila Marquez de Paula, Taniela Assis de Mendonça, Marisa Feitosa do Carmo, Marcely |
dc.subject.por.fl_str_mv |
Período Perioperatório Fatores de risco Índice de risco Perioperative period Risk factors Risk index |
topic |
Período Perioperatório Fatores de risco Índice de risco Perioperative period Risk factors Risk index |
description |
Introduction: preoperative and postoperative cardiac events are the major cause of morbidity and mortality in elective non-cardiac surgeries. Thus, preoperative cardiovascular risk stratification is essential to identify the risk and minimize its possible complications. Objective: to investigate the correlation between the ACS NSQIP Surgical Risk Calculator score and the traditionally used scores (ACP modified by Detsky and IRCR by Lee) in the preoperative outpatient assessment of cardiovascular risk in non-cardiac surgeries. Methods: Retrospective cross-sectional observational study with analysis of electronic records of patients seen at a multidisciplinary outpatient clinic of perioperative medicine and nursing in the period between January and December 2017. The cardiovascular risk score of Lee and ACP/Detsky already applied was correlated in the outpatient clinic with the cardiac risk obtained by the ACS NSQIP Surgical Risk Calculator. Results: A sample of 416 medical records was collected. Of these, 195 (47%) resulted in an equivalent risk between the two scores and 221 cases diverged in the results. A p<0.001 was obtained using the Wilcoxon test. Conclusions: There was a correlation between the ACS NSQIP Surgical Risk Calculator and the Lee and ACP/Detsky scores (p<0.001). |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-06 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://escsresidencias.emnuvens.com.br/hrj/article/view/385 10.51723/hrj.v3i14.385 |
url |
https://escsresidencias.emnuvens.com.br/hrj/article/view/385 |
identifier_str_mv |
10.51723/hrj.v3i14.385 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://escsresidencias.emnuvens.com.br/hrj/article/view/385/270 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Escola Superior de Ciências da Saúde |
publisher.none.fl_str_mv |
Escola Superior de Ciências da Saúde |
dc.source.none.fl_str_mv |
Health Residencies Journal - HRJ; v. 3 n. 14 (2022): Atenção ao paciente em cuidados anestésicos e cirúrgicos no SUS do Distrito Federal; 148-166 2675-2913 reponame:Health Residencies Journal (HRJ) instname:Escola Superior de Ciências da Saúde (ESCS) instacron:ESCS |
instname_str |
Escola Superior de Ciências da Saúde (ESCS) |
instacron_str |
ESCS |
institution |
ESCS |
reponame_str |
Health Residencies Journal (HRJ) |
collection |
Health Residencies Journal (HRJ) |
repository.name.fl_str_mv |
Health Residencies Journal (HRJ) - Escola Superior de Ciências da Saúde (ESCS) |
repository.mail.fl_str_mv |
hrj@escs.edu.br || vanessacampos@escs.edu.br |
_version_ |
1797051239814397952 |