ACS NSQIP Surgical Risk Calculator e escores IRCR de Lee e ACP/Detsky: avaliação pré-operatória cardiovascular

Abstract

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 Calculatorscore 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:Retrospectivecross-sectionalobservationalstudywithanalysisofelectronicrecordsofpatients seen at a multidisciplinary outpatient clinic of perioperative medicine and nursing inthe period between January and December 2017. The cardiovascular risk score of Lee andACP/Detsky already applied was correlated in the outpatientclinic with the cardiac riskobtained by the ACS NSQIP Surgical Risk Calculator. Results: A sample of 416 medicalrecords was collected. Of these, 195 (47%) resulted in an equivalent risk between the twoscores 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 andthe LeeandACP/Detskyscores (p<0.001).