The Vascular Study Group of New England Cardiac Risk Index (VSG-CRI) predicts cardiac complications more accurately than the Revised Cardiac Risk Index.

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Presentation transcript:

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 Daniel J. Bertges, MD, RVT, Philip P. Goodney, MD, Yuanyuan Zhao, MD, Andres Schanzer, MD, Brian W. Nolan, MD, Donald S. Likosky, PhD, Jens Eldrup-Jorgensen, MD, Jack L. Cronenwett, MD Journal of Vascular Surgery Volume 52, Issue 3, Pages 674-683.e3 (September 2010) DOI: 10.1016/j.jvs.2010.03.031 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Vascular Study Group (VSG) of New England derivation data set (2003-2007) vs the validation data set (2008) of composite cardiac event rates (in-hospital myocardial infarction, arrhythmia, or congestive heart failure [CHF]). Risk factors include age, smoking, diabetes, coronary artery disease, CHF, coronary artery bypass grafting/percutaneous coronary intervention, abnormal cardiac stress test result, chronic obstructive pulmonary disease, creatinine ≤1.8 mg/dL, and long-term β-blocker treatment. *All P values not significant by t test at .377, .890, .367, and .312, respectively. Data are shown with the standard error. Journal of Vascular Surgery 2010 52, 674-683.e3DOI: (10.1016/j.jvs.2010.03.031) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Vascular Surgery Group Cardiac Risk Index (VSG-CRI) scoring system and predicted risk of adverse cardiac events. CAD, Coronary artery disease; CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease, CABG, coronary artery bypass grafting, PCI, percutaneous coronary intervention. Journal of Vascular Surgery 2010 52, 674-683.e3DOI: (10.1016/j.jvs.2010.03.031) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Appendix III (online only) Quintiles of observed versus expected risk for aggregate and procedure-specific models. CEA, carotid endarterectomy; EVAR, endovascular abdominal aortic aneurysm repair; LEB, lower extremity bypass; ICC, interclass correlation; OAAA, open Infrarenal abdominal aortic aneurysm. Journal of Vascular Surgery 2010 52, 674-683.e3DOI: (10.1016/j.jvs.2010.03.031) Copyright © 2010 Society for Vascular Surgery Terms and Conditions