Multicenter study of perioperative evaluation for noncardiac surgeries in Brazil (EMAPO)
INTRODUCTION: The accuracy of perioperative evaluation methods available is better than chance, but their performance is not ideal. OBJECTIVES: To compare a new evaluation method (EMAPO) to the American College of Physicians method for determining the risk of cardiovascular complications in noncardiac surgeries and to look for new influencing variables. METHODS: Evaluations through EMAPO and the American College of Physicians method were employed for 700 patients. Cardiac events and deaths were recorded, the risk variables related to the occurrence of complications were verified, and the models were compared by analyzing the areas under the receiver operating characteristic curves. RESULTS: Mortality rate was 3.4%, and the incidence of cardiovascular complications was 5.3%. Renal failure (P = 0.01), major surgery (P = 0.004), and emergency surgery (P = 0.003) were independently related to the occurrence of cardiovascular complications. The two methods produced similar results. CONCLUSION: EMAPO is as good as the American College of Physicians method in determining the risk of cardiovascular complications in noncardiac surgeries. New variables related to surgical risk were identified.
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Faculdade de Medicina / USP
2007
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oai:scielo:S1807-593220070001000042007-02-28Multicenter study of perioperative evaluation for noncardiac surgeries in Brazil (EMAPO)Pinho,ClaudioGrandini,Paulo CGualandro,Danielle MCalderaro,DanielaMonachini,MaristelaCaramelli,Bruno Cardiac risk Noncardiac surgery Algorithms Cardiovascular complications Risk factors INTRODUCTION: The accuracy of perioperative evaluation methods available is better than chance, but their performance is not ideal. OBJECTIVES: To compare a new evaluation method (EMAPO) to the American College of Physicians method for determining the risk of cardiovascular complications in noncardiac surgeries and to look for new influencing variables. METHODS: Evaluations through EMAPO and the American College of Physicians method were employed for 700 patients. Cardiac events and deaths were recorded, the risk variables related to the occurrence of complications were verified, and the models were compared by analyzing the areas under the receiver operating characteristic curves. RESULTS: Mortality rate was 3.4%, and the incidence of cardiovascular complications was 5.3%. Renal failure (P = 0.01), major surgery (P = 0.004), and emergency surgery (P = 0.003) were independently related to the occurrence of cardiovascular complications. The two methods produced similar results. CONCLUSION: EMAPO is as good as the American College of Physicians method in determining the risk of cardiovascular complications in noncardiac surgeries. New variables related to surgical risk were identified.info:eu-repo/semantics/openAccessFaculdade de Medicina / USPClinics v.62 n.1 20072007-02-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322007000100004en10.1590/S1807-59322007000100004 |
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Pinho,Claudio Grandini,Paulo C Gualandro,Danielle M Calderaro,Daniela Monachini,Maristela Caramelli,Bruno |
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Pinho,Claudio Grandini,Paulo C Gualandro,Danielle M Calderaro,Daniela Monachini,Maristela Caramelli,Bruno Multicenter study of perioperative evaluation for noncardiac surgeries in Brazil (EMAPO) |
author_facet |
Pinho,Claudio Grandini,Paulo C Gualandro,Danielle M Calderaro,Daniela Monachini,Maristela Caramelli,Bruno |
author_sort |
Pinho,Claudio |
title |
Multicenter study of perioperative evaluation for noncardiac surgeries in Brazil (EMAPO) |
title_short |
Multicenter study of perioperative evaluation for noncardiac surgeries in Brazil (EMAPO) |
title_full |
Multicenter study of perioperative evaluation for noncardiac surgeries in Brazil (EMAPO) |
title_fullStr |
Multicenter study of perioperative evaluation for noncardiac surgeries in Brazil (EMAPO) |
title_full_unstemmed |
Multicenter study of perioperative evaluation for noncardiac surgeries in Brazil (EMAPO) |
title_sort |
multicenter study of perioperative evaluation for noncardiac surgeries in brazil (emapo) |
description |
INTRODUCTION: The accuracy of perioperative evaluation methods available is better than chance, but their performance is not ideal. OBJECTIVES: To compare a new evaluation method (EMAPO) to the American College of Physicians method for determining the risk of cardiovascular complications in noncardiac surgeries and to look for new influencing variables. METHODS: Evaluations through EMAPO and the American College of Physicians method were employed for 700 patients. Cardiac events and deaths were recorded, the risk variables related to the occurrence of complications were verified, and the models were compared by analyzing the areas under the receiver operating characteristic curves. RESULTS: Mortality rate was 3.4%, and the incidence of cardiovascular complications was 5.3%. Renal failure (P = 0.01), major surgery (P = 0.004), and emergency surgery (P = 0.003) were independently related to the occurrence of cardiovascular complications. The two methods produced similar results. CONCLUSION: EMAPO is as good as the American College of Physicians method in determining the risk of cardiovascular complications in noncardiac surgeries. New variables related to surgical risk were identified. |
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Faculdade de Medicina / USP |
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2007 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322007000100004 |
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