Selected examples of low, intermediate, and high intrinsic cardiac risk operations

Description	Odds ratio* (95% CI)	Estimated cardiac risk of hypothetical patient^¶ (%)
Low intrinsic cardiac risk
Partial mastectomy (lumpectomy)	0.22 (0.15-0.31)	0.05
Arthroscopic rotator cuff repair	0.32 (0.19-0.54)	0.07
Simple mastectomy (complete breast)	0.37 (0.26-0.50)	0.08
Laparoscopic appendectomy	0.45 (0.33-0.62)	0.10
Laparoscopic cholecystectomy	0.62 (0.53-0.72)	0.14
Intermediate intrinsic cardiac risk
Transurethral resection of bladder tumor, large	0.85 (0.61-1.20)	0.19
Laparoscopic prostatectomy	0.88 (0.69-1.12)	0.19
Open appendectomy	0.95 (0.51-1.75)	0.21
Total hip arthroplasty	0.95 (0.83-1.08)	0.21
Laparoscopic radial hysterectomy with bilateral salpingo-oophorectomy	1.05 (0.57-1.94)	0.23
High intrinsic cardiac risk
Laparoscopic total abdominal colectomy with ileostomy	1.50 (0.92-2.44)	0.33
Breast reconstruction with free flap	1.52 (0.81-2.86)	0.33
Open cholecystectomy	1.55 (1.25-1.92)	0.34
Open ventral hernia repair, incarcerated or strangulated, recurrent	1.78 (1.29-2.44)	0.39
Whipple procedure, pylorus-sparing	4.70 (4.00-5.53)	1.02

ASA: American Society of Anesthesiologists.
* Odds ratios are relative to the statistically estimated average procedure. Values greater than 1.0 represent higher than average risk for perioperative adverse cardiac events, whereas values less than 1.0 represent lower than average risk for perioperative adverse cardiac events.
¶ The hypothetical patient used to estimate numerical risk values across all operations for comparison was a 67-year-old White female with hypertension, diabetes requiring oral therapy, and a body mass index of 32 (class I obesity), who is functionally independent, does not smoke, and is of ASA physical class II.

From: Liu JB, Liu Y, Cohen ME, et al. Defining the intrinsic cardiac risks of operations to improve preoperative cardiac risk assessments. Anesthesiology 2018; 128:283. DOI: 10.1097/ALN.0000000000002024. Copyright © 2018 American Society of Anesthesiologists. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.

Graphic 116645 Version 4.0

خرید پکیج

Selected examples of low, intermediate, and high intrinsic cardiac risk operations