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Cited by 2,751

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Multifactorial Index of Cardiac Risk in Noncardiac Surgical Procedures

Goldman, Lee, Caldera, Debra L., Nussbaum, Samuel R., Southwick, Frederick S., Krogstad, Donald, Murray, Barbara, Burke, Donald S., O'Malley, Terrence A., Goroll, Allan H., Caplan, Charles H., Nolan, James, Carabello, Blase, Slater, Eve E.·1977·New England Journal of Medicine

Abstract

To determine which preoperative factors might affect the development of cardiac complications after major noncardiac operations, we prospectively studied 1001 patients over 40 years of age. By multivariate discriminant analysis, we identified nine independent significant correlates of life-threatening and fatal cardiac complications: preoperative third heart sound or jugular venous distention; myocardial infarction in the preceding six months; more than five premature ventricular contractions per minute documented at any time before operation; rhythm other than sinus or presence of premature atrial contractions on preoperative electrocardiogram; age over 70 years; intraperitoneal, intrathoracic or aortic operation; emergency operation; important valvular aortic stenosis; and poor general medical condition. Patients could be separated into four classes of significantly different risk. Ten of the 19 postoperative cardiac fatalities occurred in the 18 patients at highest risk. If validated by prospective application, the multifactorial index may allow preoperative estimation of cardiac risk independent of direct surgical risk.

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Crossref · 10.1056/nejm197710202971601

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Metadata

Authors
Goldman, L., Caldera, D. L., Nussbaum, S. R., Southwick, F. S., Krogstad, D., Murray, B., Burke, D. S., O'Malley, T. A., Goroll, A. H., Caplan, C. H., Nolan, J., Carabello, B., & Slater, E. E.
Venue
New England Journal of Medicine
Published
1977-10-20
Volume
297
Issue
16
Pages
845-850
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2334586393
Cited by
2,751
References
9
FWCI
11.18
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Multifactorial Index of Cardiac Risk in Noncardiac Surgical Procedures. https://app.cochat.ai/papers/10.1056/nejm197710202971601
The paper
Goldman, L., Caldera, D. L., Nussbaum, S. R., Southwick, F. S., Krogstad, D., Murray, B., Burke, D. S., O'Malley, T. A., Goroll, A. H., Caplan, C. H., Nolan, J., Carabello, B., & Slater, E. E. (1977). Multifactorial Index of Cardiac Risk in Noncardiac Surgical Procedures. New England Journal of Medicine. https://doi.org/10.1056/nejm197710202971601

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.