Risk assessment and risk stratification for perioperative complications and mitigation: Where should the focus be? How are we doing?

Ibukun Adeleke, Christina Chae, Obianuju Okocha, Bobbie Jean Sweitzer*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Various risk stratification tools are used to predict patients’ risk of adverse outcomes. Most of these tools are based on type of surgery and patient comorbidities. Accuracy of risk prediction is improved when additional factors such as functional capacity are included. However, these tools are limited because data are obtained from specific patient populations, are simplified to aid ease of use, and do not account for improved treatment modalities that occur over time. Risk estimation allows for shared decision-making among the perioperative care team and the patient, for perioperative planning, and for opportunity for risk mitigation. Technological advancement in data collection will likely improve existing risk assessment and allow development of new options. Future research should focus on establishing and standardizing perioperative outcomes that include meaningful patient-centric considerations such as quality of life. We review available stratification tools and important risk assessment biomarkers that address the most common causes of adverse outcomes.

Original languageEnglish (US)
JournalBest Practice and Research: Clinical Anaesthesiology
DOIs
StateAccepted/In press - 2020

Keywords

  • adverse outcomes
  • anemia
  • biomarkers
  • functional capacity
  • optimization
  • perioperative complications
  • risk assessment

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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