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Avaliaçäo prosprectiva de diferentes índices de risco cardíaco para pacientes submetidos a cirurgias näo-cardíacas / Prospective assessment of different indices of cardiac risk for patients undergoing noncardiac surgeries
Heinisch, Roberto Henrique; Barbieri, Caroline Ferrari; Nunes Filho, Joäo Rogério; Oliveira, Glauce Lippi de; Heinisch, Liana Miriam Miranda.
  • Heinisch, Roberto Henrique; Universidade Federal de Santa Catarina. Florianópolis. BR
  • Barbieri, Caroline Ferrari; Universidade Federal de Santa Catarina. Florianópolis. BR
  • Nunes Filho, Joäo Rogério; Universidade Federal de Santa Catarina. Florianópolis. BR
  • Oliveira, Glauce Lippi de; Universidade Federal de Santa Catarina. Florianópolis. BR
  • Heinisch, Liana Miriam Miranda; Universidade Federal de Santa Catarina. Florianópolis. BR
Arq. bras. cardiol ; 79(4): 327-338, Oct. 2002. tab, graf
Artículo en Portugués, Inglés | LILACS | ID: lil-323354
ABSTRACT

OBJECTIVE:

To compare the accuracy of 4 different indices of cardiac risk currently used for predicting perioperative cardiac complications.

METHODS:

We studied 119 patients at a university-affiliated hospital whose cardiac assessment had been required for noncardiac surgery. Predictive factors of high risk for perioperative cardiac complications were assessed through clinical history and physical examination, and the patients were followed up after surgery until the 4th postoperative day to assess the occurrence of cardiac events. All patients were classified according to 4 indices of cardiac risk the Goldman risk-factor index, Detsky modified risk index, Larsen index, and the American Society of Anesthesiologists' physical status classification and their compared accuracies, examining the areas under their respective receiver operating characteristic (ROC) curves.

RESULTS:

Cardiac complications occurred in 16 percent of the patients. The areas under the ROC curves were equal for the Goldman risk-factor index, the Larsen index, and the American Society of Anesthesiologists' physical status classification 0.48 (SEM ± 0.03). For the Detsky index, the value found was 0.38 (SEM ± 0.03). This difference in the values was not statistically significant.

CONCLUSION:

The cardiac risk indices currently used did not show a better accuracy than that obtained randomly. None of the indices proved to be significantly better than the others. Studies to improve our ability to predict such complications are still required
Asunto(s)
Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Complicaciones Posoperatorias / Procedimientos Quirúrgicos Operativos / Cardiopatías / Complicaciones Intraoperatorias Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Adulto / Aged80 / Femenino / Humanos / Masculino Idioma: Inglés / Portugués Revista: Arq. bras. cardiol Asunto de la revista: Cardiología Año: 2002 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Universidade Federal de Santa Catarina/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Complicaciones Posoperatorias / Procedimientos Quirúrgicos Operativos / Cardiopatías / Complicaciones Intraoperatorias Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Adulto / Aged80 / Femenino / Humanos / Masculino Idioma: Inglés / Portugués Revista: Arq. bras. cardiol Asunto de la revista: Cardiología Año: 2002 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Universidade Federal de Santa Catarina/BR