Time to expand risk evaluation systems for cardiac surgery? Looking beyond physiological parameters. (December 2018)

• Record Type: Journal Article
• Authors: Cromhout, Pernille F; Moons, Philip; Thygesen, Lau C; Nashef, Samer; Damgaard, Sune; Berg, Selina Kikkenborg
• Is Part Of: European journal of cardiovascular nursing. Volume 17:Number 8(2018)
• Page Start: 760
• Page End: 766
• Publication Date: 2018-12
• Subjects: Risk assessment -- cardiac surgery -- risk factors; Cardiovascular system -- Diseases -- Nursing -- Periodicals; Cardiovascular Diseases -- nursing -- Periodicals; Cardiology -- Periodicals; Nursing -- Periodicals; Vascular Diseases -- Periodicals; 610.7369105
• DOI: 10.1177/1474515118783835
• Languages: English
• ISSNs: 1474-5151

Abstract

Risk assessment in cardiac surgery traditionally consists of medical and physiological parameters. However, non-physiological factors have also been found to be predictive of poor outcomes following cardiac surgery. Therefore, the isolated focus on physiological parameters is questionable. This paper describes the emotional, behavioural, social and functional factors that have been established to play a role in outcomes following cardiac surgery. This forms a basis for future research, testing the value of these factors above and beyond the physiological parameters. By including such non-physiological factors, the accuracy of the existing risk scoring systems could potentially be improved.