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March 1, 1993British journal of surgery13 citations

Cardiac risk and peripheral vascular surgery: New approach based on a multifactorial risk index

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Why the study?

Do Goldman and Detsky indices predict 30-day cardiac events in patients undergoing peripheral vascular surgery?

Population

235 consecutive patients admitted for arterial/peripheral vascular surgery

Design

Cohort

Follow-up

30 days

Key result

Preoperative screening using the Detsky index with a cut-off of 10 effectively stratified patients into high and low risk for 30-day cardiac events (overall cardiac death 3.1%, non-lethal 5.9%).

Authors

LJLennart JivegårdIFIngvar FridHHH. Haljamäe

Discussion

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Overview

Preoperative screening with the Detsky index (using a cut-off of 10) effectively identifies low-risk patients undergoing peripheral vascular surgery who do not require additional cardiac testing.

Study Design

Type

Cohort (n=235)

Structured PICO

Do Goldman and Detsky indices predict 30-day cardiac events in patients undergoing peripheral vascular surgery?

P
Population
235 consecutive patients admitted for arterial surgery, evaluated prospectively for 30-day postoperative cardiac events.
E
Exposure
Preoperative cardiac risk stratification using Goldman and Detsky indices assessed by a nurse the day before surgery
O
Outcome
Lethal or potentially lethal cardiac events (myocardial infarction, pulmonary oedema, cardiac death) within 30 dayshard clinical

Preoperative screening with the Detsky index (using a cut-off of 10) effectively identifies low-risk patients undergoing peripheral vascular surgery who do not require additional cardiac testing.

Cite This Study

Jivegård et al. (1993) conducted a cohort in Peripheral vascular surgery (n=235). Multifactorial risk indices (Goldman and Detsky) was evaluated on Lethal or potentially lethal cardiac events (myocardial infarction, pulmonary oedema) within 30 days. Preoperative screening using the Detsky index with a cut-off of 10 effectively stratified patients into high and low risk for 30-day cardiac events (overall cardiac death 3.1%, non-lethal 5.9%).

synapsesocial.com/papers/6a9fb87086888c826790d7fehttps://doi.org/10.1002/bjs.1800800331
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