Abstract
Objectives: Preoperative cardiovascular risk survey of orthopedic injury using the Revised Cardiovascular Risk Index (RCRI) scale and surgical risk scale according to the National Surgical Quality Improvement Program of the American College of Surgeons (NSQIP). Learn the predictive value of major cardiovascular events within 30 days of corrective trauma surgery on these two scales. Results: The study included 396 patients undergoing orthopedic surgery from October 2022 to August 2023 at Bach Mai hospital, stratified cardiovascular risk on two scales and followed cardiovascular events for 30 days. The majority of patients studied when classifying cardiovascular risk according to RCRI and NSQIP index are low-risk groups. The proportion of patients who developed MACE postoperative cardiovascular events was 2.5%. Factors ≥ age 65, ischemic heart disease, congestive heart failure, and diabetes mellitus were statistically significant to the occurrence of general cardiovascular events within 30 days after surgery. The AUC of the RCRI index and the NSQIP index in prediction of cardiovascular events after 30-day orthopedic surgery were 0.855 and 0.901, respectively. Conclusions: Two high-value RCRI and NSQIP scales predict major cardiovascular events within 30 days of orthopedic trauma surgery. Therefore, clinically, when assessing cardiovascular risk before surgery for orthopedic trauma surgery, it is recommended to carefully screen cardiovascular risk factors as well as common cardiovascular diseases such as ischemic heart disease, heart failure, etc.