Key result
Review identifies 11 non-cardiovascular risk tools to aid perioperative decision-making in non-cardiac surgery.
Why the study?
Tools and scores for assessing non-cardiovascular perioperative risks in general non-cardiac surgeries are dispersed in the literature, while surgical procedures continue to expand.
This review summarizes 11 non-cardiovascular perioperative risk estimation tools to assist in evaluating surgical risks and benefits for non-cardiac surgeries.
May supplement risk assessment in non-cardiac surgery; leaves open prospective validation before routine use.
INTRODUCTION: perioperative risk assessment is essential to mitigate surgical complications, which suggests individual and collective interest since the number of surgical procedures in Brazil has been expanding steadily. The aim of this study was to summarize and detail the main calculators, indexes and scores regarding perioperative pulmonary, renal, hepatobiliary, hematological and surgical site infection risks for general non-cardiac surgeries, which are dispersed in the literature. METHOD: a narrative review was performed based on manuscripts in English and Portuguese found in the electronic databases Pubmed/MEDLINE and EMBASE. RESULTS: the review included 11 tools related to the systems covered, for which the application method and its limitations are detailed. CONCLUSION: the non-cardiovascular perioperative risk estimation tools are beneficial when disturbances are identified in the preoperative clinical examination that justify a possible increased risk to the affected system, so the use of these tools provides palpable values to aid in the judgment of surgical risk and benefit as well as it identifies factors amenable to intervention to improve outcomes.
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MORAES et al. (2022) conducted a review in Perioperative risk assessment for general non-cardiac surgeries. Perioperative risk assessment tools was evaluated. A narrative review identified 11 non-cardiovascular perioperative risk estimation tools that provide palpable values to aid in surgical risk and benefit judgment for general non-cardiac surgeries.
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