Ferramentas e escores para avaliação de risco perioperatório pulmonar, renal, hepatobiliar, hematológico e de infecção do sítio cirúrgico: uma atualização

Abstract

Introduction: perioperative risk assessment is essential for mitigating surgical complications, which is of interest individual and collective since the number of surgical procedures in Brazil has been expanding increasingly. O The objective of this study was to summarize and detail the main calculators, indices and scores for perioperative pulmonary, renal, hepatobiliary, hematological and surgical site infection for general non-cardiac surgeries, which are dispersed in the literature. Method: narrative review was carried out using manuscripts in English and Portuguese found in electronic databases Pubmed/MEDLINE and EMBASE. Results: the review included 11 tools related to the systems covered, for which the application method and its limitations were detailed. Conclusion: non-cardiovascular perioperative risk estimation tools find benefit when changes are identified in the preoperative clinical examination that justify a possible increased risk to the affected system, so the use of these tools provides tangible values to aid in the judgment of risk and benefit surgery, as well as identifying factors that can be intervened to improve outcomes