MDCalc

ACEF II Risk Score for Cardiac Surgery

Predicts 30-day mortality after elective or emergency cardiac surgery.

years
%

Creatinine

Last recorded value before surgery

Emergency surgery

Emergency = operation required before the beginning of the next working day after decision to operate
%

Result:

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Advice
  • Discuss the calculated risk with the patient and surgical team to align expectations and make informed decisions.
  • Prioritize perioperative optimization, such as improving renal function or addressing modifiable cardiac risk factors.
  • Integrate the score into broader multidisciplinary decision-making, particularly for high-risk patients or those requiring complex procedures.
  • This tool should not be the sole measure of perioperative risk. Consider the implication of other clinical variables and comorbidities (e.g., baseline pulmonary function, liver impairment).