If the risk is determined to be low--either an RCRI score <2 or an ACS NSQIP cardiac complication risk <1%--the patient can be referred to surgery without further evaluation. The 2014 ACC/AHA guidelines recommend against a 12-lead EKG for patients with low cardiac risk using the RCRI or...
CONCLUSION: ~1 in 5 patients undergoing STEP, developed a postop complication with 3-fold higher likelihood of complication with laparotomy compared to laparoscopy. Preop hematocrit, ASA score & emergency surgery are additional independent predictors of complications. Entry route and procedure typ...