Neuroanaesthesia & neurocritical care
Preoperative health status assessed with different scales and postoperative cardiac and cerebrovascular complications in older patients: A retrospective study of a large multicentre cohort
Authors' conclusion
Preoperative health status assessed by four geriatric scales was significantly correlated with postoperative MACCE and provided improved risk discrimination beyond the RCRI. Adding any of these assessments to the RCRI enhanced predictive performance, with FRAIL showing the greatest incremental benefit.
Study context
- Population
- Patients aged ≥65 years undergoing noncardiac, non-neurosurgical surgery, 19 tertiary hospitals in China, April 2020–April 2022
- Participants
- 7,996 patients
- Exposure
- Preoperative health status scales (Activities of Daily Living (ADL), EQ-5D-5L, Metabolic Equivalent of Task (MET), FRAIL) added to Revised Cardiac Risk Index (RCRI) vs RCRI for prediction of 30-day major adverse cardiac and cerebrovascular events (MACCE)
- Outcome
- MACCE:
- Stroke
- MI
- Angina pectoris
- Congestive HF
- Cardiac arrest
- All-cause mortality
- Follow-up
- 30 days after surgery
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Discrimination for 30-day MACCE (AUC)
RCRI
0.610
AUC · 95% CI 0.563–0.658
RCRI-Plus
0.692
AUC · 95% CI 0.643–0.741
RCRI-Plus + FRAIL
0.724
AUC · 95% CI 0.679–0.770
Observational data: associations, not effects.
Further findings
Incidence of 30-day MACCE
- Patients experiencing MACCE
- 126 (1.6%)
Original publication
Preoperative health status assessed with different scales and postoperative cardiac and cerebrovascular complications in older patients: A retrospective study of a large multicentre cohort. Eur J Anaesthesiol. Published 7 July 2026. doi:10.
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