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Risk assessment and management

  • We all take risks in everyday life
  • The degree of risk taken depends on the perceived benefit
  • Most decisions are made on previous experiences
  • Risk assessment forms an integral part of patient care
  • An assessment needs to be made of the risks vs. benefits for an procedure performed
  • These will then influence decisions made by the surgeon or the patient

Risk assessment models

  • Assessment of risk in surgery depends on many factors
  • These involve knowledge of the:
    • Patient
    • Disease
    • Comorbidities
    • Proposed surgery
    • Physiological status

Risk assessment tools

  • Decision making is rarely simple and straight forward
  • Risk assessment tool in common use include
    • Goldman Cardiac Risk Index
    • Parsonnet Score
    • POSSUM
    • Injury Severity Score
    • Revised Trauma score
    • APACHE I, II and III

Bibliography

Shahian D M,  Blackstone E H,  Edwards F H et al.  Cardiac surgery risk models.  Ann Thorac Surg 2004;  78:  1868-1877.

 

 
 

Last updated: 03 January 2010

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