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术前评估量表对非心脏手术患者围手术期主要心脏不良事件的预测价值

许广艳,  许力,  刘子嘉,  黄宇光

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文章导航 > 协和医学杂志  > 2019 >  10(5): 518-523
许广艳, 许力, 刘子嘉, 黄宇光. 术前评估量表对非心脏手术患者围手术期主要心脏不良事件的预测价值[J]. 协和医学杂志, 2019, 10(5): 518-523. doi: 10.3969/j.issn.1674-9081.2019.05.016
引用本文: 许广艳, 许力, 刘子嘉, 黄宇光. 术前评估量表对非心脏手术患者围手术期主要心脏不良事件的预测价值[J]. 协和医学杂志, 2019, 10(5): 518-523. doi: 10.3969/j.issn.1674-9081.2019.05.016
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Guang-yan XU, Li XU, Zi-jia LIU, Yu-guang HUANG. Predictive Value of Preoperative Assessment Tools for Perioperative Major Adverse Cardiac Event in Patients Undergoing Noncardiac Surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(5): 518-523. doi: 10.3969/j.issn.1674-9081.2019.05.016
Citation: Guang-yan XU, Li XU, Zi-jia LIU, Yu-guang HUANG. Predictive Value of Preoperative Assessment Tools for Perioperative Major Adverse Cardiac Event in Patients Undergoing Noncardiac Surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(5): 518-523. doi: 10.3969/j.issn.1674-9081.2019.05.016
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术前评估量表对非心脏手术患者围手术期主要心脏不良事件的预测价值

doi: 10.3969/j.issn.1674-9081.2019.05.016

  • 中国医学科学院 北京协和医学院 北京协和医院麻醉科, 北京 100730

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    通讯作者:

    黄宇光 电话:010-69152100, E-mail:garybeijing@163.com

  • 中图分类号: R619

Predictive Value of Preoperative Assessment Tools for Perioperative Major Adverse Cardiac Event in Patients Undergoing Noncardiac Surgery

  • Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

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    摘要
  • 摘要: 非心脏手术患者围手术期主要心脏不良事件是其并发症和病死率增加的重要原因, 术前应用恰当的评估量表进行风险评估至关重要, 临床已达成共识并进行广泛实践。修订的心脏风险指数、美国外科医师协会国家外科质量改进计划心肌梗死或心脏骤停风险计算器和美国外科医师协会国家外科质量改进计划手术风险计算器是目前临床常用的评估量表。目前尚缺乏相关研究分析上述评估量表的适用条件和优缺点, 以及何种评估量表能较为准确地预测非心脏手术患者围手术期主要心脏不良事件风险。本文总结上述评估量表在非心脏手术患者中的应用表现, 旨在为这一人群寻找最优化的评估量表提供指导。
    Abstract: The major adverse cardiac event (MACE) in patients undergoing noncardiac surgery is associated with a marked increase in morbidity and mortality. It is critical to use appropriate assessment tools preoperatively to assess the risk of major adverse cardiac event in patients undergoing noncardiac surgery. We already have guidelines and expert consensus to guide the risk stratification for perioperative major adverse cardiac events in patients undergoing noncardiac surgery. Revised Cardiac Risk Index, the American College of Surgeons' National Surgical Quality Improvement Program Myocardial Infarction or Cardiac Arrest Risk Calculator, and the American College of Surgeons' National Surgical Quality Improvement Program Surgical Risk Calculator are currently common assessment tools used for perioperative major adverse cardiac events in patients undergoing noncardiac surgery. Currently, we have no relevant research on analyzing the applicable conditions, evaluating the merits and demerits of those assessment tools, and comparing the predictive values on perioperative major adverse cardiac events in patients undergoing noncardiac surgery. In this article, we review some domestic and foreign literature in recent years, attempting to summarize the performance of these assessment toolsin patients undergoing noncardiac surgery. We also aim to provide a guide for doctors to find the most optimal preoperative assessment tool.
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  • 收稿日期:  2019-03-25
  • 刊出日期:  2019-09-30

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