Risk scores

Question 1

Name 3 risk score commonly use preoperative.

Answer 1

Question 2

Name the 6 subgroups of the ASA score with examples

Question 3

What is the risk per subgroup of the ASA score

Answer 3

1. 0.1%
2. 0.7%
3. 3.5%
4. 18.3%
5. 93.3%

Question 4

What are the disadvantages of the ASA score

Answer 4

it does not take into account any preoperative optimisation of the patient, the planned surgery, or the level of postoperative care.
ASA scoring is subjective, so may lead to significant interoperator variability.

Question 5

Which Risk score is used to estimate cardiac complications?

Answer 5

RCRI

Question 6

What are the components of rcri?

Answer 6

Insulin-dependent diabetes
Renal impairment with creatinine >176.9mcmol/l
History of cardiac failure
History of stroke or TIA
History of CAD/MI

Question 7

What is the risk % based on the score

Answer 7

<1= 0.4%
1= 0.9%
2 =6.6%
>3 = 11%

Question 8

Advantage of RCRI

Answer 8

TheRCRI is a simple, quick, and non-invasive method for identifying those at increased risk of perioperative cardiac complications.
It can be used to stratify patients who may warrant further investigation, and those who do not.

Question 9

Disadvantages of RCRI

Answer 9

The data are from a single teaching hospital in patients undergoing non-emergent operations.
○ It is therefore not generalisable to lower-risk populations, such as patients having only minor procedures, or in high-risk populations or those undergoing emergency surgery.
○ Finally, the original data were collected 20 yrs ago and therefore may not reflect current patients presenting for surgery.

Question 10

Risk score for postoperative pulmonary complications

Answer 10

Assess respiratory risk in surgical patients in Catalonia (ARISCAT) is the most widely used risk score for predicting postoperative pulmonary complications (PPC

Question 11

What are the variables for ARISCAT

Answer 11

Age
Recent resp infection <1/12
Incision site
Presence of anemia
Duration of surgery
Emergency/elective

Question 12

How are the patients graded according to the ARISCAT score

Answer 12

Low risk¼<26 points; intermediate risk¼26e44 points; high risk¼>45 points.

Question 13

What are the composition measures of the ARISCAT score

Question 14

What are the adverse outcomes measured by ARISCAT SCORE

Answer 14

pneumonia,
acute respiratory distress syndrome (ARDS), and
pulmonary embolus

Question 15

What are the main advantages of the ARISCAT score

Answer 15

Using the ARISCAT risk score helps identify the patient groups susceptible to PPCs. In an elective setting it can beused to aid surgical timing, as it contains modifiable factors such as anaemiaandrespiratory infectionwithin thepast month