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Perioperative Risk Models

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Perioperative Care of the Orthopedic Patient

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Abstract

Over the past 80 years, various risk models have been published attempting to aid clinical decision-making in the perioperative period. The primary goal of such models is to objectively classify risks numerically or into categories that can be readily understood by clinicians and patients. Some models have been extrapolated from nonsurgical patient populations, whereas others have been derived and validated solely in surgical cohorts. The scope of perioperative medicine is broad, and a discussion of risks surrounding the surgical period can vary from general statements noting whether patients are acceptable candidates, to detailed problem-specific discussions. We present here an outline of key preoperative models developed over time. These models relay general risk assessments as well as problem- and specialty-specific assessments.

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Notes

  1. 1.

    Bilirubin and creatinine values less than 1.0 mg/dL are rounded to 1.0 mg/dL. Patients with a creatinine greater than 4.0 mg/dL or who have received dialysis twice in the past week receive a creatinine value of 4.0 mg/dL. The score is rounded to the nearest integer.

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Authors and Affiliations

  1. Department of Medicine, Division of Perioperative Medicine, Hospital for Special Surgery, New York, NY, USA

    Chad M. Craig & Matthew L. Buchalter

  2. Department of Medicine, Weill Cornell Medicine, New York, NY, USA

    Chad M. Craig & Matthew L. Buchalter

  3. Department of Orthopedics, Division of Spine Surgery, Hospital for Special Surgery, New York, NY, USA

    Chad M. Craig

  4. Department of Cardiology, Lenox Hill Hospital, New York, NY, USA

    Craig Basman

  5. South Texas Veterans Health Care System, Department of Medicine, San Antonio, TX, USA

    Emily S. Wang

  6. University of Texas Health San Antonio, Department of Medicine/Division of General and Hospital Medicine, San Antonio, TX, USA

    Emily S. Wang & Michael Shoffeitt

  7. Departments of Rheumatology and Medicine the Hospital for Special Surgery Weill Cornell Medicine, New York, NY, USA

    C. Ronald MacKenzie

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  1. Chad M. Craig
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  2. Matthew L. Buchalter
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  3. Craig Basman
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  4. Emily S. Wang
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  5. Michael Shoffeitt
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  6. C. Ronald MacKenzie
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Corresponding author

Correspondence to Chad M. Craig .

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Editors and Affiliations

  1. Departments of Rheumatology and Medicine, the Hospital for Special Surgery, Weill Cornell Medicine, New York, NY, USA

    C. Ronald MacKenzie

  2. Department of Orthopedics, the Hospital for Special Surgery, Weill Cornell Medicine, New York, NY, USA

    Charles N. Cornell

  3. Department of Anesthesiology Critical Care and Pain Management, Hospital for Special Surgery, Weill Cornell Medicine, New York, NY, USA

    Stavros G. Memtsoudis

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Craig, C.M., Buchalter, M.L., Basman, C., Wang, E.S., Shoffeitt, M., MacKenzie, C.R. (2020). Perioperative Risk Models. In: MacKenzie, C., Cornell, C., Memtsoudis, S. (eds) Perioperative Care of the Orthopedic Patient. Springer, Cham. https://doi.org/10.1007/978-3-030-35570-8_2

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