VSG Cardiac Risk Index | Lower Extremity Bypass

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Use the Vascular Study Group of New England Cardiac Risk Index (VSG-CRI) to estimate post-operative in-hospital major cardiac event after lower extremity bypass.

 

Age
Gender
Diabetes
COPD?
Congestive heart failure?
Cardiac Stress Test [Definition]
Statin use? [Definition]
Critical limb ischemia? [Definition]

Definitions


Cardiac stress test includes stress EKG, stress echo or nuclear stress scans within 2 years of surgery.
Statin use would be selected if a statin taken within 36 hours of surgery.
Critical ischemia is defined by the presence of peripheral vascular disease with rest pain or tissue loss.

 

About this calculator

The Revised Cardiac Risk Index (RCRI) is a widely used model for predicting cardiac events after noncardiac surgery. However, it substantially underestimates in-hospital cardiac events in patients undergoing elective or urgent vascular surgery, especially after lower extremity bypass, endovascular abdominal aortic aneurysm repair and open infrarenal abdominal aortic aneurysm repair. The Vascular Study Group of New England Cardiac Rsk Index (VSG-CRI) more accurately predicts in-hospital cardiac events after vascular surgery.

Citations

This model was adapted from
Bertges DJ, Goodney PP, Zhao Y, Schanzer A, Nolan BW, Likosky DS, Eldrup-Jorgensen J, Cronenwett JL; The Vascular Study Group of New England Cardiac Risk Index (VSG-CRI) predicts cardiac complications more accurately than the Revised Cardiac Risk Index in vascular surgery patients, Vascular Study Group of New England. J Vasc Surg. 2010 Jun 4; 52 (1):5-12.