Assessment of Peri-Operative Cardiovascular Risk Among Patients Undergoing Non-Cardiac Surgeries

Introduction: Patients undergoing non-cardiac surgeries face a measurable risk of cardiovascular events, making preoperative risk assessment vital. This study aimed to assess the level of peri-operative cardiovascular risk and its association with socio-demographic and clinical variables among patients undergoing non-cardiac surgeries. Methods: A cross-sectional analytical study was conducted among 92 patients with comorbidities undergoing non cardiac surgery selected using convenience sampling at Surgery OPD, JIPMER. The data was collected using the AUB-HAS2 Cardiovascular Risk Index which is a structured questionnaire. Results: Descriptive and inferential statistics like likelihood ration test was used. Mean AUB-HAS2 score was 1.12 ± 1.06. Majority (71.7%) had low, 20.7% intermediate, and 7.6% had high cardiovascular risk. Significant associations were found between cardiovascular risk and regular physical activity (p=0.001) and presence of co-morbidities (p=0.002). No significant association was found with socio demographic variables. Discussion: Compared with global data, this population showed a predominance of low cardiovascular risk. However, even within this category, individuals with comorbidities and low activity levels showed increased risk. The findings reinforce the necessity of clinical-based, not demographic-based, assessments. Most patients had low perioperative risk; however, attention is warranted for those with comorbidities and sedentary lifestyles.