| Patient-related factors |
Definition |
score |
| Age |
(per 5 years or part thereof over 60 years) |
1 |
| Sex |
female |
1 |
| Chronic pulmonary
disease |
Long-term use of bronchodilators or steroids for lung disease |
1 |
| Extracardiac arteriopathy |
any one or more of the following: claudication, carotid
occlusion or >50% stenosis, previous or planned intervention on the abdominal aorta, limb arteries or carotids |
2 |
| Neurological dysfunction
disease |
severely affecting ambulation or day-to-day functioning |
2 |
| Previous cardiac surgery |
requiring opening of the pericardium |
3 |
| Serum creatinine |
>200m micromol/L preoperatively |
2 |
| Active endocarditis |
patient still under antibiotic treatment for endocarditis at the
time of surgery |
3 |
Critical
preoperative
state |
any one or more of the following: ventricular tachycardia or
fibrillation or aborted sudden death, preoperative cardiac massage, preoperative ventilation before arrival in the anaesthetic room, preoperative inotropic support, intra-aortic balloon counterpulsation or preoperative acute renal failure (anuria or oliguria<10 ml/hour) |
3 |
| Cardiac-related
factors |
Definition |
Score |
| Unstable angina |
rest angina requiring iv nitrates until arrival in the
anaesthetic room |
2 |
| LV dysfunction |
moderate or LVEF30-50% |
1 |
| |
poor or LVEF<30 |
3 |
| Recent myocardial infarct |
(<90 days) |
2 |
| Pulmonary hypertension |
Systolic PA pressure>60 mmHg |
2 |
| Operation-related factors |
Definition |
Score |
| Emergency |
carried out on referral before the beginning of the next working day |
2 |
| Other than isolated CABG |
major cardiac procedure other than or in addition to CABG |
2 |
| Surgery on thoracic aorta |
for disorder of ascending, arch or descending aorta |
3 |
| Postinfarct septal rupture |
|
4 |
