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preoperatieve voorbereiding en risico-inschatting van de bejaarde ...

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TU-score<br />

65-74 jaar<br />

> 75 jaar<br />

Acuut < 24 uur<br />

Urg<strong>en</strong>t<br />

LV dysfunctie<br />

EF 35-50%<br />

EF 20-34%<br />

EF 60 jaar<br />

Acuut < 24 uur<br />

EF 30-50%<br />

EF > 30%<br />

Niet CABG<br />

Aorta Thorac<br />

Post MI VSD repair<br />

Reoperatie<br />

1<br />

2<br />

1<br />

3<br />

2<br />

3<br />

4<br />

3<br />

RISICO-INSCHATTING<br />

CARDIO-VASCULAIRE<br />

INGREPEN<br />

Tu JV, jaglal SB, Naylor D,<br />

the steering committee of<br />

the Provincial Adult Cardiac<br />

Care Network of Ontario:<br />

Multic<strong>en</strong>tre validation of a<br />

risk in<strong>de</strong>x for mortality,<br />

int<strong>en</strong>sive care unit stay, and<br />

overall hospital l<strong>en</strong>gth of<br />

stay after cardiac surgery.<br />

Circulation 1995; 91:677-684.<br />

Vrouwelijk geslacht<br />

1<br />

COPD<br />

Syst PAP >60 mmHg<br />

Perif. Vaatziekte<br />

Ernstige neurol. Afw.<br />

Creatinine > 200µM<br />

Actieve <strong>en</strong>docarditis<br />

Kritische <strong>preoperatieve</strong> afw.<br />

Instabiel angina + nitroglycerine<br />

Infarct < 90 dag<strong>en</strong><br />

1<br />

2<br />

2<br />

2<br />

2<br />

3<br />

3<br />

2<br />

2<br />

Nashef SA, Roques F,<br />

Michel P, Gauducheau E,<br />

Lemeshow S, Salamon R,<br />

the EuroSCORE study<br />

group: European system<br />

for cardiac operative risk<br />

evaluation (EuroScore).<br />

Eur. J. Cardiothorac. Surg.<br />

1999; 16:9-13.

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