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
Arq. bras. cardiol
; 79(4): 327-338, Oct. 2002. tab, graf
Artigo
em Português, Inglês
| LILACS
| ID: lil-323354
Biblioteca responsável:
BR1.1
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
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Complicações Pós-Operatórias
/
Procedimentos Cirúrgicos Operatórios
/
Cardiopatias
/
Complicações Intraoperatórias
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Idoso, 80 anos ou mais
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
/
Português
Revista:
Arq. bras. cardiol
Assunto da revista:
Cardiologia
Ano de publicação:
2002
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Federal de Santa Catarina/BR