Cardiac Anesthesia Risk Evaluation Score (CARE)
Predicts mortality and morbidity after cardiac surgery.
When to Use
Stable cardiac disease, no other medical problems, undergoing noncomplex surgery+1
Stable cardiac disease, one or more controlled medical problems, undergoing noncomplex surgery+2
Any uncontrolled medical problem OR undergoing complex surgery+3
Any uncontrolled medical problem AND undergoing complex surgery+4
Chronic or advanced cardiac disease undergoing cardiac surgery as a last hope to save or improve life+5
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- Patients with a CARE score of 3 or above NOT undergoing emergent surgery should be optimized (after weighing the risks and benefits of delaying surgery), and if their uncontrolled medical problems can be treated preoperatively, mortality and morbidity outcomes may decrease dramatically.
- Patients with CARE scores above 3 should be informed preoperatively of their surgical risk.
- Predictive models such as the CARE score have modest predictive abilities and should be utilized as a tool used in conjunction with other clinical factors.
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- Amit Patel, MD