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Preoperative Pulmonary Risk Stratification
Aka: Preoperative Pulmonary Risk Stratification, Perioperative Pulmonary Complication Risk Factors, Postoperative Pulmonary Complication Risk Assessment, NSQIP Pneumonia Risk Tool, NSQIP Respiratory Failure Risk Tool, Respiratory Failure Risk Index, ARISCAT Score for Postoperative Pulmonary Complications- See Also
- Preoperative Examination
- Preoperative Cardiovascular Evaluation
- Preoperative Evaluation in Kidney Disease
- Perioperative Beta Blocker
- Antiplatelet Therapy for Vascular Disease
- Perioperative Cardiovascular Risk
- Perioperative Diabetes Management
- Deep Vein Thrombosis Prevention
- Perioperative Anticoagulation
- Endocarditis Prophylaxis
- Postoperative Nausea and Vomiting Prevention
- Perioperative Corticosteroid
- Preoperative Guidelines for Medications Prior to Surgery
- Indications
- Informed Consent regarding pulmonary surgical risk for elective non-cardiac surgery
- Review with patient if benefits of procedure outweigh risks
- Informed Consent regarding pulmonary surgical risk for elective non-cardiac surgery
- Risk Factors: Perioperative Pulmonary Complication Risk Factors by Patient Factors (Odds Ratio)
- Current Smoking: 1.4
- American College of Anesthesiologists (ASA) Class II or higher: 4.87
- Congestive Heart Failure: 2.93
- Chronic Obstructive Pulmonary Disease (COPD): 2.3
- Age over 60 years old: >2.28
- Unable to complete Activities of Daily Living (ADLs) without assistance or Assistive Devices: >1.65
- Serum Albumin <3.5 mg/dl
- Risk Factors: Perioperative Pulmonary Complication Risk Factors by Surgery (Odds Ratio)
- Aortic aneurysm repair: 6.9
- Thoracic Surgery: 4.24
- Abdominal surgery: 3.09
- Neurosurgery: 2.53
- Emergency surgery: 2.52
- General Anesthesia: 2.35
- Prolonged surgery >3 hours: 2.26
- Head and neck surgery: 2.21
- Vascular surgery: 2.10
- Evaluation: Tools
- NSQIP Pneumonia Risk Tool
- https://www.mdcalc.com/gupta-postoperative-pneumonia-risk
- Predicts Pneumonia risk within 30 days following surgery
- Gupta (2011) Chest 140(5): 1207-5 [PubMed]
- NSQIP Respiratory Failure Risk Tool
- https://www.mdcalc.com/gupta-postoperative-respiratory-failure-risk
- Predicts Respiratory Failure within 30 days following surgery
- Gupta (2013) Mayo Clin Proc 88(11): 1241-9 [PubMed]
- Respiratory Failure Risk Index
- ARISCAT Score for Postoperative Pulmonary Complications
- NSQIP Pneumonia Risk Tool
- References
- Dummer (2009) Perioperative Guideline Review
- Azharuddin (2019) Am Fam Physician 100(8): 499-501 [PubMed]
- Smetana (2006) Ann Intern Med 144(8):581-95 [PubMed]