Cardiac risk scoring systems and screening tests have low sensitivity and specificity, resulting in predictive performance that may not be completely satisfactory for peri-operative risk assessment.
What is the predictive performance and value of cardiac risk scoring systems for estimating peri-operative risk of major adverse cardiac events?
This review highlights that commonly used peri-operative cardiac risk scoring systems may have limited predictive performance due to low sensitivity and specificity.
Estimating the peri-operative risk of major adverse cardiac events is one of the functions of cardiac risk scoring systems. Fortunately, peri-operative cardiac complications are relatively infrequent in most patients. Clinical algorithms use sequential screening tests to detect patients most at risk of cardiac complications. However, because the sensitivity and specificity of the tests used are low, the predictive performance of the commonly-used cardiac screening tests may not be completely satisfactory. The purpose of this review is to describe measures of performance of cardiac screening tests and illustrate their potential benefits and weaknesses.
S. Ridley (Wed,) conducted a review in Peri-operative risk of major adverse cardiac events. Cardiac risk scoring systems was evaluated. Cardiac risk scoring systems and screening tests have low sensitivity and specificity, resulting in predictive performance that may not be completely satisfactory for peri-operative risk assessment.