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Assessing the accuracy of the revised Cardiac Risk Index compared to the American Society of Anaesthesiologists physical status classification in predicting Pulmonary and Cardiac complications among non-cardiothoracic surgery patients at Muhimbili National Hospital: a prospective cohort study.
Chrisant, Elias Makoye; Khamisi, Ramadhan Hassani; Muhamba, Frank; Mwanga, Ally Hamis; Mbuyamba, Hervé Tshikomba.
Afiliación
  • Chrisant EM; Department of Surgery, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania. researchelias@gmail.com.
  • Khamisi RH; Department of Surgery, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
  • Muhamba F; Department of Surgery, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
  • Mwanga AH; Department of Surgery, Muhimbili National Hospital (MNH), Dar es Salaam, Tanzania.
  • Mbuyamba HT; Department of Surgery, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
BMC Surg ; 24(1): 263, 2024 Sep 14.
Article en En | MEDLINE | ID: mdl-39272110
ABSTRACT

BACKGROUND:

The Revised Cardiac Risk Index (RCRI) and the American Society of Anaesthesiologists (ASA-PS) classification system are two commonly used tools for preoperative risk assessment. This study aimed to assess the accuracy of RCRI compared to the ASA-PS classification system in preoperative risk assessment for pulmonary and cardiac problems among non-cardiothoracic surgery patients admitted at Muhimbili National Hospital (MNH).

METHODS:

This was a prospective cohort study design conducted from August 2022 to April 2023 among 184 patients of 18 years and above admitted at MNH for elective non-cardiothoracic surgery. Data Analysis was conducted using STATA software version 16. Means and standard deviations were used to summarize continuous data. Frequencies and percentages were used to summarize categorical data. The logistic regression and ROC curve analysis were used to determine the correlation between variables.

RESULTS:

The majority of patients (43.3%) had an RCRI score of 1 point, and 39.9% were classified as ASA class 1. Patients in ASA classes 3 and 4 had higher odds of developing cardiac and pulmonary complications (AUC = 0.75 and 0.77, respectively). Patients with an RCRI score of 2 or ≥ 3 points were also more likely to experience cardiac and pulmonary complications (AUC = 0.73 and 0.72, respectively). There was no significant difference in the predictive ability of the two tools. Both RCRI and ASA-PS classification systems were equally effective in predicting these complications.

CONCLUSION:

Both the RCRI and the ASA-PS classification system demonstrated good predictive ability for cardiac and pulmonary complications among patients undergoing non-cardiothoracic surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Cardiopatías / Enfermedades Pulmonares Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Surg Año: 2024 Tipo del documento: Article País de afiliación: Tanzania Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Cardiopatías / Enfermedades Pulmonares Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Surg Año: 2024 Tipo del documento: Article País de afiliación: Tanzania Pais de publicación: Reino Unido