November 1, 1982Open Access
Cardiovascular Risk Factors in Patients for Vascular Surgery
Key Result
Cooperman's scheme was more accurate than Goldman's Multifactorial Index of Cardiac Risk for assessing cardiovascular risk in patients undergoing vascular surgery.
Study Design
Type
Cohort (n=100)
Structured PICO
Does Cooperman's scheme improve accuracy of cardiovascular risk assessment compared to Goldman's scheme in patients undergoing vascular surgery?
P
Population
100 patients undergoing vascular surgery
I
Intervention
Cooperman's scheme for assessing cardiovascular risk
C
Comparator
Goldman's 'Multifactorial Index of Cardiac Risk'
O
Outcome
Accuracy in assessing patient risk for cardiovascular complications
Cooperman's scheme is more accurate than Goldman's index for predicting cardiovascular complications in vascular surgery patients, who represent a high-risk group.
Abstract
Various attempts have made been made to quantify the cardiovascular risk factors associated with anaesthesia and surgery. Two such schemes are the "Multifactorial Index of Cardiac Risk" developed by Goldman et al., and the one devised by Cooperman et al. The validity of these two schemes in relation to anaesthesia for vascular surgery was investigated by carrying out a prospective study of 100 patients. Cooperman's scheme was found to be much more accurate than Goldman's scheme in assessing patient risk. The study confirms the impression that the vascular patient falls into a higher risk group than most other surgical patients with regard to cardiovascular complications.