_id

683a1627c782e11e38d1b225

id

10022

title

ARISCAT Score for Postoperative Pulmonary Complications

full_title

ARISCAT Score for Postoperative Pulmonary Complications

short_title

ARISCAT Score

med_description

Predicts risk of pulmonary complications after surgery, including respiratory failure.

short_description

Post-op pulmonary complications.

slug

ariscat-score-postoperative-pulmonary-complications

description

The ARISCAT Score for Postoperative Pulmonary Complications predicts risk of pulmonary complications after surgery, including respiratory failure.

keywords

ARISCAT Score for Postoperative Pulmonary Complications, ARISCAT Score, ARISCAT, postoperative, anesthesia risk, pulmonary complications, respiratory failure, postop complications, postoperative pulmonary complications, postoperative complications risk, postop complications risk, post op complications, post op complications risk

complaint

[ "Shortness of Breath" ]

formula

Addition of the selected points:

Variable

Points

Age, years

≤50

0

51-80

3

>80

16

Preoperative SpO2

≥96%

0

91-95%

8

≤90%

24

Respiratory infection in the last month*

No

0

Yes

17

Preoperative anemia (Hgb ≤10 g/dL)

No

0

Yes

11

Surgical incision

Peripheral

0

Upper abdominal

15

Intrathoracic

24

Duration of surgery

<2 hrs

0

2-3 hrs

16

>3 hrs

23

Emergency procedure

No

0

Yes

8

*Either upper or lower (i.e., URI, bronchitis, pneumonia), with fever and antibiotic treatment

evidence

measurements

[]

information

Interpretation:

ARISCAT Score

Risk group

Risk of in-hospital postoperative pulmonary complications*

<26

Low

1.6%

26–44

Intermediate

13.3%

≥45

High

42.1%

*Complications were defined as a composite including respiratory failure, respiratory infection, pleural effusion, atelectasis on chest x-ray, pneumothorax, bronchospasm treated with bronchodilators, and aspiration pneumonitis.

refrences

{ "Clinical Practice Guidelines": [ { "href": "", "text": "" } ], "Manufacturer Website": [ { "href": "", "text": "" } ], "Original/Primary Reference": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/21045639", "text": "Canet J, Gallart L, Gomar C, et al. Prediction of postoperative pulmonary complications in a population-based surgical cohort. Anesthesiology. 2010;113(6):1338-50." } ], "Other References": [ { "href": "", "text": "" } ], "Outcomes": [ { "href": "", "text": "" } ], "Validation": [ { "href": "https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1917609", "text": "Mazo V, Sabaté S, Canet J, et al. Prospective external validation of a predictive score for postoperative pulmonary complications. Anesthesiology. 2014;121(2):219-31." } ], "Validations": [] }

pearls

usecase

Patients undergoing surgery under general, neuraxial, or regional anesthesia.

reasons

next_advice

May guide decision-making to reduce risk of postoperative pulmonary complications and encourage preventative strategies such as considering non-surgical procedures, delaying the surgery, shortening the time for surgery, or using tissue-sparing approaches. 

next_actions

next_management

diseases

[ "Pneumonia", "Respiratory Distress" ]

input_schema

{ "conditionality": "", "default": null, "label_en": "Age, years", "mdcalc_info_concept": null, "name": "age", "option_fhir_rules": null, "optional": false, "options": [ { "label": "≤50", "value": 0 }, { "label": "51-80", "value": 3 }, { "label": ">80", "value": 16 } ], "show_points": true, "tips_en": "", "type": "radio" }

{ "conditionality": "", "default": 0, "label_en": "Preoperative SpO₂", "mdcalc_info_concept": null, "name": "oxygen", "option_fhir_rules": null, "optional": false, "options": [ { "label": "≥96%", "value": 0 }, { "label": "91-95%", "value": 8 }, { "label": "≤90%", "value": 24 } ], "show_points": true, "tips_en": "", "type": "radio" }

{ "conditionality": "", "default": 0, "label_en": "Respiratory infection in the last month", "md_calc_info_concept": null, "name": "infection", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 17 } ], "show_points": true, "tips_en": "Either upper or lower (i.e., URI, bronchitis, pneumonia), with fever and antibiotic treatment", "type": "toggle" }

{ "conditionality": "", "default": 0, "label_en": "Preoperative anemia (Hgb ≤10 g/dL)", "md_calc_info_concept": null, "name": "anemia", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 11 } ], "show_points": true, "tips_en": "", "type": "toggle" }

{ "conditionality": "", "default": 0, "label_en": "Surgical incision", "mdcalc_info_concept": null, "name": "incision", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Peripheral", "value": 0 }, { "label": "Upper abdominal", "value": 15 }, { "label": "Intrathoracic", "value": 24 } ], "show_points": true, "tips_en": "", "type": "radio" }

{ "conditionality": "", "default": 0, "label_en": "Duration of surgery", "mdcalc_info_concept": null, "name": "duration", "option_fhir_rules": null, "optional": false, "options": [ { "label": "<2 hrs", "value": 0 }, { "label": " 2-3 hrs", "value": 16 }, { "label": ">3 hrs", "value": 23 } ], "show_points": true, "tips_en": "", "type": "radio" }

{ "conditionality": "", "default": 0, "label_en": "Emergency procedure", "md_calc_info_concept": null, "name": "emergency", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 8 } ], "show_points": true, "tips_en": "", "type": "toggle" }

[ { "conditionality": "", "default": null, "label_en": "Age, years", "mdcalc_info_concept": null, "name": "age", "option_fhir_rules": null, "optional": false, "options": [ { "label": "≤50", "value": 0 }, { "label": "51-80", "value": 3 }, { "label": ">80", "value": 16 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "Preoperative SpO₂", "mdcalc_info_concept": null, "name": "oxygen", "option_fhir_rules": null, "optional": false, "options": [ { "label": "≥96%", "value": 0 }, { "label": "91-95%", "value": 8 }, { "label": "≤90%", "value": 24 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "Respiratory infection in the last month", "md_calc_info_concept": null, "name": "infection", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 17 } ], "show_points": true, "tips_en": "Either upper or lower (i.e., URI, bronchitis, pneumonia), with fever and antibiotic treatment", "type": "toggle" }, { "conditionality": "", "default": 0, "label_en": "Preoperative anemia (Hgb ≤10 g/dL)", "md_calc_info_concept": null, "name": "anemia", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 11 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": "", "default": 0, "label_en": "Surgical incision", "mdcalc_info_concept": null, "name": "incision", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Peripheral", "value": 0 }, { "label": "Upper abdominal", "value": 15 }, { "label": "Intrathoracic", "value": 24 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "Duration of surgery", "mdcalc_info_concept": null, "name": "duration", "option_fhir_rules": null, "optional": false, "options": [ { "label": "<2 hrs", "value": 0 }, { "label": " 2-3 hrs", "value": 16 }, { "label": ">3 hrs", "value": 23 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "Emergency procedure", "md_calc_info_concept": null, "name": "emergency", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 8 } ], "show_points": true, "tips_en": "", "type": "toggle" } ]

instructions

published

2022-04-21T20:28:05.531Z

purpose

[ "Prognosis" ]

search_terms

[ "ARISCAT", "postoperative", "pulmonary complications", "anesthesia risk", "ARISCAT Score", "ARISCAT Score for Postoperative Pulmonary Complications", "respiratory failure", "postop complications", "postoperative pulmonary complications", "postoperative complications risk", "postop complications risk", "post op complications", "post op complications risk" ]

seo

{ "keywords_en": "ARISCAT Score for Postoperative Pulmonary Complications, ARISCAT Score, ARISCAT, postoperative, anesthesia risk, pulmonary complications, respiratory failure, postop complications, postoperative pulmonary complications, postoperative complications risk, postop complications risk, post op complications, post op complications risk", "meta_description_en": "The ARISCAT Score for Postoperative Pulmonary Complications predicts risk of pulmonary complications after surgery, including respiratory failure. " }

specialty

[ "Anesthesiology", "Critical Care", "Pulmonology", "Surgery (Cardiothoracic)", "Surgery (General)", "Surgery (Vascular)" ]

departments

[ "Respiratory" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 10193, "short_title_en": "Gupta Postop Respiratory Failure Risk", "slug": "gupta-postoperative-respiratory-failure-risk" }, { "calcId": 10020, "short_title_en": "ACTION ICU Score", "slug": "action-icu-score-intensive-care-nstemi" }, { "calcId": 10199, "short_title_en": "Gupta Postop Pneumonia Risk", "slug": "gupta-postoperative-pneumonia-risk" } ]

ismed

false

section

[ "whenToUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "pulmonology" ]

cleaned_use

[ "Patients undergoing surgery under general, neuraxial, or regional anesthesia." ]

pub

false

Age, years
Preoperative SpO₂
Respiratory infection in the last month
Preoperative anemia (Hgb ≤10 g/dL)
Surgical incision
Duration of surgery
Emergency procedure