Documented patient characteristics in the previous studies describing preoperative risk factors for surgical complications
Reference | ASA | Age | Sex | BMI | Alcohol | Smoking | Nutritional status | Functional status | Symptoms/morbidities/medical signs | Type of surgery | Category of surgery |
Khuri et al12 | Increasing | Increasing | NR | NR | NR | NR | Recent weight loss | Independent/dependent | Albumin, cancer, ascites, BUN, platelets | Emergency | Complexity score,* subspecialty |
Daley et al13 | Increasing | Increasing | NR | NR | NR | NR | NR | Independent/dependent | Albumin, hematocrite, WBC, COPD, TIA, AFOS, platelets | Emergency | Complexity score*, subspecialty |
Anderson et al11 | Increasing ASA | Increasing age | NR | NR | NR | NR | NR | Functional status (ACS-NSQUIP grading) | Albumin, hematocrite, INR, BUN, ALP, AST | Emergency | NR |
Veltkamp et al14 | ASA 2–5 | Over 40 years | Male | >27.3 | NR | Yes | >10 kg weight loss for 3 months | Independent/dependent | Cardiac/pulmonary disease, HT, DM, renal failure, immunological disorder | Urgent/emergency | Central part of body surgery/major |
Dimick et al10 | Increasing ASA | NR | NR | Yes | NR | NR | Recent weight loss | Independent/dependent | Diabetes, HT, dyspnoea, albumin, CHF, dialysis | Emergency | NR |
Donati et al15 | Increasing ASA | Increasing age | Male | NR | NR | NR | NR | NR | Anaemia, NYHA 3–4, HT, diabetes | Emergency/urgent | Increasing severity (major) |
Wolters et al19 | Increasing ASA | No difference | No | NR | NR | History of smoking | NR | Independent/dependent | Sepsis | Emergency | Severity of operation |
Kable et al18 | NR | >70 years, frailty | No | NR | Predictive for arthroplasty complications | NR | NR | NR | Anaemia, asthma, cancer, osteoporosis, angina, warfarin-type medication, low albumin | Acute admission | Type and severity of operation |
Robinson et al20 | NR | All >65 years | No (98% male) | NR | NR | NR | Albumin <3.4 g/dL | Katz Score and >1 falls within 6 months (frailty) | Charlson Index score >3, anaemia, hypoalbuminaemia | NR | NR |
Turrentine et al16 | Increasing ASA | Increasing age | Male | Yes | NR | current smoker | Recent weight loss | Impairment of ADLs | HT, sepsis, steroids, DM, varices, CHF, ascites, bleeding disorder | Emergency operation | RVU, physician work relative unit |
Glasgow et al17 | ASA 2–4 | Increasing age after 41 years | No | <18.5 and >35.0 | NR | current smoker | BMI <18.5 | Partially/totally dependent | HT, COPD, steroids, cancer, vascular disease, CHF, bleeding disorder | Inpatient | RVU |
*Complexity score of each index operation ranked by groups of subspecialists.
ACS-NSQUIP, American College of Surgeons National Surgical Quality Improvement Program; ADLs, activities of daily living; ALP, alkaline phosphatase; ASA, American Society of Anesthesiologists Physical Status Classification System; AST, aspartate aminotransferase; BMI, body mass index; BUN, blood urea nitrogen; CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease; DM, diabetes mellitus; HT, hypertension; INR, international normalised ratio (blood clotting); NR, not reported; NYHA, New York Heart Association (functional classification of heart failure); RVU, relative value unit by Medicare; TIA, transient ischaemic attack; WBC, white blood cell count.