research
Preoperative Screening at the Outpatient Clinic: Predicting cardiac risk in noncardiac surgery
- Publication date
- 13 December 2006
- Publisher
- The first chapter of this thesis analyzes perioperative cardiovascular mortality in noncardiac
surgery at the Erasmus Medical Center, Rotterdam, The Netherlands. The performance of
Lee et al’s index in predicting perioperative cardiovascular mortality is validated in a 10-year
surgical cohort of patients undergoing noncardiac surgery.
Based on the results of chapter one, the analysis of perioperative mortality risk factors
is continued in chapter two. In this chapter, over one million Dutch patients undergoing
noncardiac surgery between 1991-2002 were studied. The influence of well known perioperative
risk factors in high risk patients was analyzed in the general noncardiac surgical
population, and the impact of surgery related risk on perioperative mortality was further
clarified. The total cohort was used to derive and validate a newly constructed perioperative
risk index to accurately predict all-cause mortality in noncardiac surgery.