Rogers score: Difference between revisions

Jump to navigation Jump to search
Line 8: Line 8:


===Calculation of Roger's Score===
===Calculation of Roger's Score===
{|
{| style="cellpadding=0; cellspacing= 0; width: 600px;"
|Respiratory and hemic surgery|| 9
|-
|-
|Thoracoabdominal aneurysm, embolectomy/thrombectomy, venous reconstruction, and endovascular repair surgery ||7
| style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF; width: 25%" align=center |'''Variable'''|| style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF; width: 25%" align=center |'''Score'''
|-
|-
|Aneurysm surgery|| 4
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Respiratory and hemic surgery|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 9
|-
|-
|Mouth or palate surgery|| 4
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Thoracoabdominal aneurysm, embolectomy/thrombectomy, venous reconstruction, and endovascular repair surgery ||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 7
|-
|-
|Stomach or intestines surgery|| 4
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Aneurysm surgery|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 4
|-
|-
|Integument surgery||3
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Mouth or palate surgery|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 4
|-
|-
|Hernia surgery||2
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Stomach or intestines surgery|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 4
|-
|-
|American Society of Anesthesiologists (ASA) physical status class 3, 4, or 5|| 2
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Integument surgery||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 3
|-
|-
|ASA physical status class 2|| 1
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Hernia surgery||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 2
|-
|-
|Female || 1
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | American Society of Anesthesiologists (ASA) physical status class 3, 4, or 5|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 2
|-
|-
|Work relative value unit > 17 ||3
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | ASA physical status class 2|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1
|-
|-
|Work relative value unit 10−17 || 2
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Female || style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1
|-
|-
|Disseminated malignacy||2
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Work relative value unit > 17 ||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 3
|-
|-
|Chemotherapy for cancer in the last 30 days||2
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Work relative value unit 10−17 || style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 2
|-
|-
|Serum sodium > 145 mmol/L pre-op||2
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Disseminated malignacy||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 2
|-
|-
|Transfusion > 4 U packed RBCs within 72 h pre-op||2
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Chemotherapy for cancer in the last 30 days||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 2
|-
|-
|Dependency on ventilator||2
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Serum sodium > 145 mmol/L pre-op||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 2
|-
|-
|Wound class (clean/contaminated)||1
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Transfusion > 4 U packed RBCs within 72 h pre-op||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 2
|-
|-
|Hematocrit ≤ 38% pre-op||1
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Dependency on ventilator||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 2
|-
|-
| Bilirubin > 1.0 mg/dL pre-op||1
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Wound class (clean/contaminated)||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1
|-
|-
|Dyspnea||1
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Hematocrit ≤ 38% pre-op||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1
|-
|-
|Albumin ≤ 3.5 mg/dL||1
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Bilirubin > 1.0 mg/dL pre-op||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1
|-
|-
|Emergency||1
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | [[Dyspnea]]||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1
|-
|-
|ASA physical status class 1||0
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Albumin ≤ 3.5 mg/dL||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1
|-
|-
|Work relative value unit < 10||0
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Emergency||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1
|-
|-
|Male||0
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | ASA physical status class 1||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 0
|-
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Work relative value unit < 10||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 0
|-
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Male||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 0
|}
|}



Revision as of 17:46, 26 May 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

Overview

Rogers score is a scoring system for the assessment of the risk of venous thromboembolism following non-cardiac surgeries.[1]

Roger's Score

Calculation of Roger's Score

Variable Score
Respiratory and hemic surgery 9
Thoracoabdominal aneurysm, embolectomy/thrombectomy, venous reconstruction, and endovascular repair surgery 7
Aneurysm surgery 4
Mouth or palate surgery 4
Stomach or intestines surgery 4
Integument surgery 3
Hernia surgery 2
American Society of Anesthesiologists (ASA) physical status class 3, 4, or 5 2
ASA physical status class 2 1
Female 1
Work relative value unit > 17 3
Work relative value unit 10−17 2
Disseminated malignacy 2
Chemotherapy for cancer in the last 30 days 2
Serum sodium > 145 mmol/L pre-op 2
Transfusion > 4 U packed RBCs within 72 h pre-op 2
Dependency on ventilator 2
Wound class (clean/contaminated) 1
Hematocrit ≤ 38% pre-op 1
Bilirubin > 1.0 mg/dL pre-op 1
Dyspnea 1
Albumin ≤ 3.5 mg/dL 1
Emergency 1
ASA physical status class 1 0
Work relative value unit < 10 0
Male 0

Interpretation of Roger's Score

References

  1. Rogers SO, Kilaru RK, Hosokawa P, Henderson WG, Zinner MJ, Khuri SF (2007). "Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery: results from the patient safety in surgery study". J Am Coll Surg. 204 (6): 1211–21. doi:10.1016/j.jamcollsurg.2007.02.072. PMID 17544079.