A look into Lee's score: peri-operative cardiovascular risk assessment in non-cardiac surgeries-usefulness of revised cardiac risk index.

Indian Heart Journal
Jayakeerthi Y RaoShamanna S Iyengar

Abstract

The revised cardiac risk index (RCRI/Lee's score) was designed for peri-operative risk assessment before elective major non-cardiac surgeries. Through this article, we report the usefulness of RCRI in our daily practice, while evaluating patients undergoing surgeries of varying risk. Only referred patients, aged ≥ 40 years, were included. Risk stratification was done using RCRI scoring system. Patients were categorised into 4 classes depending on 0, 1, 2, and ≥3 risk predictors (risk predictors were high-risk surgery, history of ischaemic heart disease (IHD), diabetes on insulin, history of stroke (cerebrovascular accident [CVA]), history of congestive heart failure (CHF) and serum creatinine of >2 mg%). Electrocardiograms (ECG) were done in all patients, while troponin I in intermediate and high-risk patients, and in others if symptomatic. Perioperative cardiovascular events were managed appropriately. Of the 920 patients included, only 853 patients were analysed as 67 patients were not operated upon. The mean age was 59 ± 11years and 46% of the patients were women. Two hundred and ninety-two underwent high-risk surgeries, 97 patients had history of IHD, 89 had history of CHF, 36 gave history of CVA, 269 patients were diabetic...Continue Reading

References

Oct 20, 1977·The New England Journal of Medicine·L GoldmanE E Slater
Apr 1, 1989·Mayo Clinic Proceedings·J H O'KeefeS R Rettke
Apr 15, 1996·Annals of Internal Medicine·M M Bodenheimer
Mar 4, 1998·The American Journal of Cardiology·L C TorsherD L Brown
Oct 20, 1999·Archives of Internal Medicine·D F ReillyS D Fihn
May 2, 2000·Archives of Internal Medicine·T DormanB A Rosenfeld
Apr 20, 2001·JAMA : the Journal of the American Medical Association·E BoersmaUNKNOWN DECREASE Study Group (Dutch Echocardiographic Cardiac Risk Evaluation Applying Stress Echocardiogrpahy)
Mar 12, 2004·British Journal of Anaesthesia·S J HowellP Foëx
Jul 29, 2005·The New England Journal of Medicine·Peter K LindenauerEvan M Benjamin
Oct 1, 2005·The American Journal of Medicine·Eric BoersmaDon Poldermans
Sep 5, 2006·Journal of the American College of Cardiology·Don PoldermansUNKNOWN Dutch Echocardiographic Cardiac Risk Evaluation Applying Stress Echo Study Group
May 17, 2008·Journal of the American College of Cardiology·Don PoldermansHarm H Feringa

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Citations

Feb 12, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ludovic Kaminski, Xavier Banse
Nov 6, 2013·Journal of Traditional Chinese Medicine = Chung I Tsa Chih Ying Wen Pan·Xichao XiaShipeng Xue
Dec 28, 2016·European Journal of Anaesthesiology·Carlos Álvarez ZurroRosa Méndez Hernández

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