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Cardiac Assessment for Patients Undergoing Noncardiac Surgery A Multifactorial Clinical Risk Index
Abstract
In this article, we describe a multifactorial cardiac risk index that can be used to assess patients undergoing noncardiac surgery. The index is a modified version of an index that was previously generated by Goldman and coworkers on a set of 1001 consecutive patients and prospectively validated in our clinical setting (a general medical consultation service in a large teaching hospital) on 455 patients. We present a Bayesian approach to assessing cardiac risks by converting average risks for patients undergoing particular surgical procedures (pretest probabilities) to average risks for patients with each index score (posttest probabilities). A simple nomogram is presented for performing such a calculation.
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Cited by
Mangano, D. T., Browner, W. S., Hollenberg, M., London, M. J., Tubau, J. F., & Tateo, I. M. (1990) · New England Journal of Medicine · doi:10.1056/nejm199012273232601 · Cited by 992
Fleisher, L. A., Beckman, J. A., Brown, K. A., Calkins, H., Chaikof, E. L., Fleischmann, K. E., Freeman, W. K., Froehlich, J. B., Kasper, E. K., Kersten, J. R., et al. (2007) · Circulation · doi:10.1161/circulationaha.107.185699 · Cited by 587
Jenkins, K., & Baker, A. B. (2003) · Anaesthesia · doi:10.1046/j.1365-2044.2003.03410.x · Cited by 150
Metadata
- Authors
- Detsky, A. S.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association
- Published
- 1986-11-01
- Volume
- 146
- Issue
- 11
- Pages
- 2131-2131
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W2017570039
- Cited by
- 501
- References
- 0
- FWCI
- 4.27
- Type
- journal article
- Language
- en
- Open access
- closed
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Cite CoChat for the checks on this page, and the paper for its own findings.
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- CoChat. (2026). Citation check: Cardiac Assessment for Patients Undergoing Noncardiac Surgery A Multifactorial Clinical Risk Index. https://app.cochat.ai/papers/10.1001/archinte.146.11.2131
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- Detsky, A. S. (1986). Cardiac Assessment for Patients Undergoing Noncardiac Surgery A Multifactorial Clinical Risk Index. Archives of Internal Medicine. https://doi.org/10.1001/archinte.146.11.2131
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
