The use of a simple clinical cardiac risk index predictive of long-term outcome after infrarenal aortic reconstruction.
OBJECTIVE
Assessment of the value of preoperative clinical cardiac risk score (Detsky) in predicting long-term outcome in terms of survival and quality of life after elective aortic reconstruction.


METHODS
Prospective assessment of cardiac risk factors using Detsky's modification of Goldman's Index.


METHODS
District General Hospital.


METHODS
Ninety-three consecutive patients undergoing elective infrarenal aortic reconstruction.


METHODS
After a median follow-up of 50.5 months, surviving patients were interviewed to assess quality of life using a standard Rosser classification.


RESULTS
A high pre-operative cardiac risk score (Detsky > 10) was associated with decreased probability of survival, increased likelihood of suffering a non-fatal cardiovascular event, and diminished quality of life at the time of assessment.


CONCLUSIONS
Preoperative cardiac risk assessment is helpful in predicting long-term outcome.
Payne
S P
SP
Department of Surgery, Royal Berkshire Hospital, Reading, U.K.
Galland
R B
RB
D000368:Aged; D000369:Aged, 80 and over; D001012:Aorta, Abdominal / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000601:surgery; D016022:Case-Control Studies; D004542:Ejaculation; D017558:Elective Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D005544:Forecasting; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D011300:Preoperative Care; D011446:Prospective Studies; D011788:Quality of Life; D018570:Risk Assessment; D015996:Survival Rate; D016896:Treatment Outcome