Perioperative Risk: Short Review of Current Approach in Non Cardiac Surgery
The rate of major surgery is constantly increasing worldwide, and approximately 85% are non-cardiac surgery. More than half of patients over 45 years presenting for non-cardiac surgical interventions have cardiovascular risk factors, and the most common: chronic coronary syndrome and history of stro...
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| Language: | English |
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MDPI AG
2025-01-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| Online Access: | https://www.mdpi.com/2308-3425/12/1/24 |
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| author | Andreea Boghean Cristian Guțu Dorel Firescu |
| author_facet | Andreea Boghean Cristian Guțu Dorel Firescu |
| author_sort | Andreea Boghean |
| collection | DOAJ |
| description | The rate of major surgery is constantly increasing worldwide, and approximately 85% are non-cardiac surgery. More than half of patients over 45 years presenting for non-cardiac surgical interventions have cardiovascular risk factors, and the most common: chronic coronary syndrome and history of stroke. The preoperative cardiovascular risk is determined by the comorbidities, the clinical condition before the intervention, the urgency, duration or type. Cardiovascular risk scores are necessary tools to prevent perioperative cardiovascular morbidity and mortality and the most frequently used are Lee/RCRI (Revised Cardiac Risk Index), APACHE II (Acute Physiology and Chronic Health Evaluation), POSSUM (Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity), The American University of Beirut (AUB)-HAS2. To reduce the perioperative risk, there is a need for an appropriate preoperative risk assessment, as well as the choice of the type and timing of surgical intervention. Quantification of surgical risk as low, intermediate, and high is useful in identifying the group of patients who are at risk of complications such as myocardial infarction, thrombosis, arrhythmias, heart failure, stroke or even death. Currently there are not enough studies that can differentiate the risk according to gender, race, elective versus emergency procedure, the value of cardiac biomarkers. |
| format | Article |
| id | doaj-art-fcb28b766a734a1f820619967463b6d9 |
| institution | Kabale University |
| issn | 2308-3425 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj-art-fcb28b766a734a1f820619967463b6d92025-01-24T13:36:02ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252025-01-011212410.3390/jcdd12010024Perioperative Risk: Short Review of Current Approach in Non Cardiac SurgeryAndreea Boghean0Cristian Guțu1Dorel Firescu2Faculty of Medicine and Pharmacy, University “Dunărea de Jos” Galați, 800008 Galati, RomaniaFaculty of Medicine and Pharmacy, University “Dunărea de Jos” Galați, 800008 Galati, RomaniaFaculty of Medicine and Pharmacy, University “Dunărea de Jos” Galați, 800008 Galati, RomaniaThe rate of major surgery is constantly increasing worldwide, and approximately 85% are non-cardiac surgery. More than half of patients over 45 years presenting for non-cardiac surgical interventions have cardiovascular risk factors, and the most common: chronic coronary syndrome and history of stroke. The preoperative cardiovascular risk is determined by the comorbidities, the clinical condition before the intervention, the urgency, duration or type. Cardiovascular risk scores are necessary tools to prevent perioperative cardiovascular morbidity and mortality and the most frequently used are Lee/RCRI (Revised Cardiac Risk Index), APACHE II (Acute Physiology and Chronic Health Evaluation), POSSUM (Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity), The American University of Beirut (AUB)-HAS2. To reduce the perioperative risk, there is a need for an appropriate preoperative risk assessment, as well as the choice of the type and timing of surgical intervention. Quantification of surgical risk as low, intermediate, and high is useful in identifying the group of patients who are at risk of complications such as myocardial infarction, thrombosis, arrhythmias, heart failure, stroke or even death. Currently there are not enough studies that can differentiate the risk according to gender, race, elective versus emergency procedure, the value of cardiac biomarkers.https://www.mdpi.com/2308-3425/12/1/24riskcardiovascularsurgeryperioperativescore |
| spellingShingle | Andreea Boghean Cristian Guțu Dorel Firescu Perioperative Risk: Short Review of Current Approach in Non Cardiac Surgery Journal of Cardiovascular Development and Disease risk cardiovascular surgery perioperative score |
| title | Perioperative Risk: Short Review of Current Approach in Non Cardiac Surgery |
| title_full | Perioperative Risk: Short Review of Current Approach in Non Cardiac Surgery |
| title_fullStr | Perioperative Risk: Short Review of Current Approach in Non Cardiac Surgery |
| title_full_unstemmed | Perioperative Risk: Short Review of Current Approach in Non Cardiac Surgery |
| title_short | Perioperative Risk: Short Review of Current Approach in Non Cardiac Surgery |
| title_sort | perioperative risk short review of current approach in non cardiac surgery |
| topic | risk cardiovascular surgery perioperative score |
| url | https://www.mdpi.com/2308-3425/12/1/24 |
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