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==Overview==
==Overview==
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>


==Roger's Score==
==Rogers Score==


===Calculation of Roger's Score===
===Calculation of Rogers 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'''<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>
|-
|-
|Aneurysm surgery|| 4
|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
|-
|-
|Mouth or palate surgery|| 4
|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
|-
|-
|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 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
|-
|-
|Work relative value unit > 17 ||3
|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
|-
|-
|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 [[malignancy]]||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 | [[Hypernatremia|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 [[red blood cells]] 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 operation||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 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 | Male||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | 0
|}
|}


===Interpretation of Roger's Score===
===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==
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[[Category:Surgery]]
[[Category:Surgery]]
[[Category:Cardiology]]
[[Category:Hematology]]
[[Category:Angiology]]
[[Category:Up-To-Date]]
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{{WS}}

Latest revision as of 01:46, 5 June 2014

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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. ↑ 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.

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