Anaesthesiology · Surgery · Cardiology
Gupta Perioperative Myocardial Infarction or Cardiac Arrest Risk calculator
Enter the published formula inputs below to calculate and interpret this score.
Clinical inputs
Allowed range: 18–100 years
Result
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Clinical inputs
- Age (years)Accepted range: 18 to 100
- Functional status
- ASA physical status class
- Preoperative creatinine
- Procedure
Primary source
Gupta PK et al. Development and validation of a risk calculator for prediction of cardiac risk after surgery. Circulation 2011;124(4):381-387. DOI: 10.1161/CIRCULATIONAHA.110.015701. PMID: 21730309. Logistic model for postoperative MI or cardiac arrest within 30 days (ACS-NSQIP): logit = -5.25 + 0.02 x age (years) + functional status (independent 0, partially dependent 0.65, totally dependent 1.03) + ASA class (1 -5.17, 2 -3.29, 3 -1.92, 4 -0.95, 5 0) + creatinine >1.5 mg/dL 0.61 + procedure (hernia 0 reference; anorectal -0.16; aortic 1.60; bariatric -0.25; brain 1.40; breast -1.61; cardiac 1.01; ENT 0.71; foregut/hepatopancreatobiliary 1.39; gallbladder/appendix/adrenal/spleen 0.59; intestinal 1.14; neck (thyroid/parathyroid) 0.18; obstetric/gynecologic 0.76; orthopedic 0.80; other abdomen 1.13; peripheral vascular 0.86; skin 0.54; spine 0.21; thoracic 0.40; vein -1.09; urology -0.26); risk = e^logit / (1 + e^logit). Risk threshold: 2014 ACC/AHA perioperative guideline (Fleisher LA et al., Circulation 2014;130:e278) classes combined clinical/surgical risk of MACE as low (<1%) or elevated (>=1%). (2011)
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