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    Patent Pending

    Cardiac Anesthesia Risk Evaluation Score (CARE)

    Predicts mortality and morbidity after cardiac surgery.
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    When to Use
    Pearls/Pitfalls
    Why Use
    • Patients undergoing cardiac surgery.
    • The Cardiac Anesthesia Risk Evaluation (CARE) Score was created to develop a simple risk classification tool to predict mortality and morbidity after cardiac surgery.
    • Shows similar accuracy to more complex cardiac anesthesia risk assessment schematics.
    • Does not account for age and left ventricular (LV) function.
    • The score contains only 6 variables (compared to EuroSCORE, which contains 18 variables) but shows similar accuracy.
    • Quickly risk-stratifies patients undergoing cardiac surgery in the clinical setting.
    • Requires fewer variables and data, including those that may be hard to obtain on the day of surgery.
    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

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    • 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.
    Content Contributors
    • Amit Patel, MD
    About the Creator
    Jean-Yves Dupuis, MD
    Are you Jean-Yves Dupuis, MD?
    Content Contributors
    • Amit Patel, MD