The Revised Cardiac Risk Index (RCRI) is widely used to predict the risk of peri-operative cardiac events. In this systematic review, the pooled sensitivity/specificity of the RCRI in mixed surgical patients was 65% and 75%, respectively, in discriminating low from intermediate-to-high risk (AUC=0.75). It performed less well in vascular surgery patients, with a sensitivity/specificity of 70% and 55% respectively (AUC=0.64), and performed less well in predicting death (median AUC=0.62). The RCRI performs moderately well in predicting peri-operative cardiac risk in non-vascular patients (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.