revised cardiac risk index (RCRI)
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Indications
- predicts postoperative adverse cardiac events after noncardiac surgery
- predicts postoperative cardiac complications and death following posterior lumbar decompression[3]
Procedure
1 point each for
- history of ischemic heart disease
- compensated or prior chronic heart failure
- diabetes mellitus, requiring insulin
- chronic renal failure (serum creatinine > 2.0 mg/dL)
- history of cerebrovascular disease
- high risk surgery (intrathoracic, intraperitoneal, suprainguinal vascular surgery)
Interpretation
Table
| Points | Risk[1] |
|---|---|
| 0 | 0.4% |
| 1 | 1.0% |
| 2 | 2.4% |
| 3 | 5.4% |
More general terms
References
- ↑ 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 16, 17, 18. American College of Physicians, Philadelphia 2012, 2015, 2018
- ↑ Ford MK, Beattie WS, Wijeysundera DN. Systematic review: prediction of perioperative cardiac complications and mortality by the revised cardiac risk index. Ann Intern Med. 2010 Jan 5;152(1):26-35 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20048269
- ↑ 3.0 3.1 Bronheim RS, Oermann EK, Bronheim DS, Caridi JM. Revised cardiac risk index as a predictor for myocardial infarction and cardiac arrest following posterior lumbar decompression. Spine (Phila Pa 1976). 2019 Feb 1;44(3):E187-E193. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30005044 https://insights.ovid.com/crossref?an=00007632-201902010-00020
- ↑ Lee TH, Marcantonio ER, Mangione CM et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999 Sep 7;100(10):1043-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/10477528 Free Article
- ↑ Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019