Clinical Utility of Revised Cardiac Risk Index to Predict Perioperative Cardiac Events in Elderly Patients with Coronary Heart Disease Undergoing Non-cardiac Surgery

• Published in: Zhōngguó yīxué kēxuéyuàn xuébào Vol. 42; no. 6; p. 732
• Main Authors: Liu, Le Yi, Liu, Zi Jia, Xu, Guang Yan, Zhang, Feng Yan, Xu, Li, Huang, Yu Guang
• Format: Journal Article
• Language: Chinese
• Published: China 30.12.2020
• Subjects: Aged; Coronary Disease - complications; Female; Humans; Logistic Models; Male; Middle Aged; Multivariate Analysis; Postoperative Complications - epidemiology; Retrospective Studies; Risk Assessment; Risk Factors; Surgical Procedures, Operative; cardiac risk index; non-cardiac surgery; cardiac events; coronary heart disease; elder
• ISSN: 1000-503X
• DOI: 10.3881/j.issn.1000-503X.12635

Objective To explore the predictive ability of the revised cardiac risk index(RCRI)in elderly patients with coronary heart disease(CHD)undergoing non-cardiac surgery. Methods We performed a retrospective study including a total of 2100 patients,aged≥65 with a history of CHD who underwent non-cardiac surgery form January 2013 to September 2019.The preoperative,intraoperative and postoperative clinical data were extracted from an electronic database.The RCRI and reconstructed-RCRI(R-RCRI)score of each patient were calculated.The primary end point was defined as an occurrence of perioperative MACE.Multivariate logistic regression analysis was performed to evaluate the risk factors of perioperative MACE.The area under the receiver operating characteristic(ROC)curve was used to compare the predictive value of RCRI,R-RCRI,and the new risk scoring system of the study for perioperative MACE. Results The incidence of perioperative MACE in elderly patients with CHD was 5.4%.Six independent risk factors of perioperative