Why the study?
To review published literature comparing actual versus predicted postoperative complications across studies and recommend which risk calculator is best for different types of surgeries.
Which preoperative risk calculator (ACS NSQIP or RCRI) is most accurate for predicting postoperative complications in different types of surgeries?
Which preoperative risk calculator (ACS NSQIP or RCRI) is most accurate for predicting postoperative complications in different types of surgeries?
This review aims to recommend the most accurate preoperative risk calculator for different types of surgeries based on existing literature.
Preoperative calculator choice should remain individualized; this review leaves open definitive ACS NSQIP versus RCRI recommendations.
The most commonly used preoperative assessment tools include the American College of Surgeons National Surgical Quality Improvement Program and the Revised Cardiac Risk Index. These tools seek to predict the risk of an individual experiencing postoperative complications, including but not limited to mortality, myocardial infarction, pneumonia, stroke, venous thromboembolism, and pneumonia. Many published studies have sought to objectively quantify the utility of the preoperative risk calculations by retrospectively compiling data for patients who underwent the same or comparable surgeries to compare actual complications to predicted complications. Therefore, we searched these studies to review the literature to draw more general conclusions and recommend which risk calculator is best for different types of surgeries.
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Mir et al. (2021) studied this question.