Rogers score: Difference between revisions
Rim Halaby (talk | contribs) |
Rim Halaby (talk | contribs) No edit summary |
||
(10 intermediate revisions by the same user not shown) | |||
Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{CMG}} {{AE}} {{Rim}} | {{SI}} | ||
{{CMG}}; {{AE}} {{Rim}} | |||
==Overview== | ==Overview== | ||
Rogers score is a scoring system for the assessment of the risk of [[venous thromboembolism]] | Rogers score is a scoring system for the assessment of the risk of postoperative [[venous thromboembolism]] among non-cardiac surgery patients.<ref name="pmid17544079">{{cite journal| author=Rogers SO, Kilaru RK, Hosokawa P, Henderson WG, Zinner MJ, Khuri SF| title=Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery: results from the patient safety in surgery study. | journal=J Am Coll Surg | year= 2007 | volume= 204 | issue= 6 | pages= 1211-21 | pmid=17544079 | doi=10.1016/j.jamcollsurg.2007.02.072 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17544079 }} </ref> | ||
== | ==Rogers Score== | ||
===Calculation of | ===Calculation of Rogers Score=== | ||
{| style="cellpadding=0; cellspacing= 0; width: 600px;" | {| style="cellpadding=0; cellspacing= 0; width: 600px;" | ||
|- | |- | ||
| 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''' | | 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'''<ref name="pmid17544079">{{cite journal| author=Rogers SO, Kilaru RK, Hosokawa P, Henderson WG, Zinner MJ, Khuri SF| title=Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery: results from the patient safety in surgery study. | journal=J Am Coll Surg | year= 2007 | volume= 204 | issue= 6 | pages= 1211-21 | pmid=17544079 | doi=10.1016/j.jamcollsurg.2007.02.072 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17544079 }} </ref> | ||
|- | |- | ||
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | | |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Pulmonary and hemic surgery|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 9 | ||
|- | |- | ||
|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 | |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Thoracoabdominal [[aneurysm]], [[Pulmonary embolectomy|embolectomy]]/[[thrombectomy]], venous reconstruction, and endovascular repair surgery ||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 7 | ||
|- | |- | ||
|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 | |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 | ||
|- | |- | ||
|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 | |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 | ||
Line 24: | Line 25: | ||
|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 | |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 | ||
|- | |- | ||
|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 | |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 | ||
|- | |- | ||
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | American Society of Anesthesiologists (ASA) physical status | |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | [[American Society of Anesthesiologists physical status classifications|American Society of Anesthesiologists (ASA) physical status classification]] 3, 4, or 5|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 2 | ||
|- | |- | ||
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | ASA physical status | |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | [[ASA physical status classification]] 2|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1 | ||
|- | |- | ||
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Female || style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1 | |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Female || style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1 | ||
Line 36: | Line 37: | ||
|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 | |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 | ||
|- | |- | ||
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Disseminated | |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Disseminated [[malignancy]]||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 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 | |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 | ||
|- | |- | ||
|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 | |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | [[Hypernatremia|Serum sodium > 145 mmol/L]] pre-op||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 2 | ||
|- | |- | ||
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Transfusion > 4 U packed | |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | [[Transfusion]] > 4 U packed [[red blood cells]] within 72 h pre-op||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 2 | ||
|- | |- | ||
|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 | |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 | ||
Line 48: | Line 49: | ||
|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 | |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 | ||
|- | |- | ||
|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 | |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 | ||
|- | |- | ||
|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 | |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 | ||
|- | |- | ||
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | [[Dyspnea]]||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 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 | ||
|- | |- | ||
|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 | |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 | ||
|- | |- | ||
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Emergency||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1 | |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | Emergency operation||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 1 | ||
|- | |- | ||
|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | ASA physical status | |style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | [[ASA physical status classification]] 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 | Work relative value unit < 10||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 0 | ||
Line 65: | Line 66: | ||
|} | |} | ||
===Interpretation of | ===Interpretation of Rogers Score=== | ||
The Rogers score is calculated by adding the scores of all factors present in the patient. The Rogers score is interpreted in the following way:<ref name="pmid17544079">{{cite journal| author=Rogers SO, Kilaru RK, Hosokawa P, Henderson WG, Zinner MJ, Khuri SF| title=Multivariable predictors of postoperative venous thromboembolic events after general and vascular surgery: results from the patient safety in surgery study. | journal=J Am Coll Surg | year= 2007 | volume= 204 | issue= 6 | pages= 1211-21 | pmid=17544079 | doi=10.1016/j.jamcollsurg.2007.02.072 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17544079 }} </ref> | |||
* '''Score 1-6''': Low | |||
* '''Score 7-10''': Moderate | |||
* '''Score > 10''': High | |||
==References== | ==References== | ||
Line 71: | Line 76: | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
[[Category:Cardiology]] | |||
[[Category:Hematology]] | |||
[[Category:Angiology]] | |||
[[Category:Up-To-Date]] | |||
{{WH}} | |||
{{WS}} |
Latest revision as of 01:46, 5 June 2014
WikiDoc Resources for Rogers score |
Articles |
---|
Most recent articles on Rogers score Most cited articles on Rogers score |
Media |
Powerpoint slides on Rogers score |
Evidence Based Medicine |
Clinical Trials |
Ongoing Trials on Rogers score at Clinical Trials.gov Clinical Trials on Rogers score at Google
|
Guidelines / Policies / Govt |
US National Guidelines Clearinghouse on Rogers score
|
Books |
News |
Commentary |
Definitions |
Patient Resources / Community |
Patient resources on Rogers score Discussion groups on Rogers score Patient Handouts on Rogers score Directions to Hospitals Treating Rogers score Risk calculators and risk factors for Rogers score
|
Healthcare Provider Resources |
Causes & Risk Factors for Rogers score |
Continuing Medical Education (CME) |
International |
|
Business |
Experimental / Informatics |
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 postoperative venous thromboembolism among non-cardiac surgery patients.[1]
Rogers Score
Calculation of Rogers Score
Variable | Score[1] |
Pulmonary 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 classification 3, 4, or 5 | 2 |
ASA physical status classification 2 | 1 |
Female | 1 |
Work relative value unit > 17 | 3 |
Work relative value unit 10−17 | 2 |
Disseminated malignancy | 2 |
Chemotherapy for cancer in the last 30 days | 2 |
Serum sodium > 145 mmol/L pre-op | 2 |
Transfusion > 4 U packed red blood cells 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 operation | 1 |
ASA physical status classification 1 | 0 |
Work relative value unit < 10 | 0 |
Male | 0 |
Interpretation of Rogers Score
The Rogers score is calculated by adding the scores of all factors present in the patient. The Rogers score is interpreted in the following way:[1]
- Score 1-6: Low
- Score 7-10: Moderate
- Score > 10: High
References
- ↑ 1.0 1.1 1.2 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.