Abstract

PANTOJA MUNOZ, Hernán Javier; FERNANDEZ RAMOS, Humberto  and  GUEVARA TOVAR, William Leandro. Sensitivity, specificity and predictive values of the Goldman, Detsky and Lee cardiac indices. Rev. colomb. anestesiol. [online]. 2014, vol.42, n.3, pp.184-191. ISSN 0120-3347.  https://doi.org/10.1016/j.rca.2014.02.005.

Introduction: Timely recognition of perioperative risk variables helps predict morbidity and mortality frequency, as well as adopt measures to reduce complications. Several risk scores have been developed for this purpose in patients with cardiovascular disease. Objective: To determine the sensitivity, specificity and predictive values of the Goldman, Detsky and Lee cardiac risk indices for non-cardiac surgery. Methods: Observational, analytical, longitudinal prospective study of the total number of patients with cardiovascular disease undergoing non-cardiac surgery between January 2011 and January 2013 at Hospital Universitario Manuel Ascunce Domenech in Camagüey. The sample consisted of 88 patients included in the universe of patients who met the inclusion criteria. The variables studied were: age, gender, type of surgery, type of complication, and the presence or absence of complications in relation to the risk assessed on the basis of the Goldman, Detsky and Lee indices. The sensitivity, specificity and predictive value test was applied. Results: There was a predominance of males in patients over 70 years of age coming for orthopaedic surgery; cardiac arrhythmiawas the main complication. High-risk patients were a frequent finding and the majority suffered complications. Conclusions: The Goldman and Detsky indices showed high sensitivity and specificity, while the Lee index showed higher positive predictive value. However, the three predictive indices must be applied in order to optimize cardiac risk stratification in non-cardiac surgery.

Keywords : Preoperative cardiovascular risk; Goldman index; Detsky index; Lee index.

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