Key result
Classifying preoperative hazards identifies patients at risk for operating-room or postoperative death.
Careful study of preoperative circumstances can help define surgical patients at high risk for intraoperative or immediate postoperative death.
May guide preoperative risk stratification in surgery; leaves open prospective validation of hazard classification.
CAREFUL study of the circumstances surrounding the deaths of surgical patients has proved profitable in defining groups of patients who are candidates for catastrophe in the operating room or in the immediate postoperative period. Many of the hazards involved are generally recognized and understood. Others may be apparent if the anesthetist, surgeon or internist studies the problem before operation. In a final group the mechanism of the complication is obscure, and forewarning comes only from previous experience. It is the purpose of this report to attempt to classify these hazards and to relate certain experiences encountered by the anesthesia service . . .
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James E. Eckenhoff (1956) conducted a review in Surgical patients at risk of operating-room or postoperative death. Preoperative hazard classification was evaluated on Operating-room or immediate postoperative death. A review of circumstances surrounding surgical deaths highlights the importance of classifying preoperative hazards to identify patients at risk of operating-room or postoperative catastrophe.
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