Global: ^MCAR(694.5

The Date of Completion of Physician's Estimate of Operative Mortality

1)= S ^MCAR(694.5,"B",$E(X,1,30),DA)=""

2)= K ^MCAR(694.5,"B",$E(X,1,30),DA)

This field identifies the patient's name.

1)= S ^MCAR(694.5,"C",$E(X,1,30),DA)=""

2)= K ^MCAR(694.5,"C",$E(X,1,30),DA)

This cross-reference allow looks-up by Patient.

This field identifies the Hospital where Surgery is to be performed.

This field identifies the patient's age, between 15 and 99.

HEIGHT OF THE PATIENT IN INCHES

1)= D RISK^MCARBSA

2)= S:$P(^MCAR(694.5,DA,0),U,6)="" $P(^MCAR(694.5,DA,0),U,9)=""

This cross-reference computes the patient's body surface area from the patient's height and weight and inserts the computed value into the BODY SURFACE AREA field (#8).

Height of the patient in centimeters.

1)= D RISK^MCARBSA

2)= S:$P(^MCAR(694.5,DA,0),U,5)="" $P(^MCAR(694.5,DA,0),U,9)=""

This cross-reference computes the patient's body surface area from the patient's height and weight and inserts the computed value into the BODY SURFACE AREA field (#8).

This field identifies the Patient in pounds.

1)= D RISK^MCARBSA

2)= S:$P(^MCAR(694.5,DA,0),U,8)="" $P(^MCAR(694.5,DA,0),U,9)=""

This cross-reference computes the patient's body surface area from the patient's height and weight and inserts the computed value into the BODY SURFACE AREA field (#8).

This field identifies the weight of the Patient in kilograms.

1)= D RISK^MCARBSA

2)= S:$P(^MCAR(694.5,DA,0),U,7)="" $P(^MCAR(694.5,DA,0),U,9)=""

This cross-reference computes the patient's body surface area from the patient's height and weight and inserts the computed value into the BODY SURFACE AREA field (#8).

Body surface area in square meters, computed from weight and height.

UNEDITABLE

A 'Yes' indicates Glucose Intolerance Requiring Treatment with Oral Hypoglycemic Agents or Insulin within 30 days Preceding Heart Surgery

A 'Yes' indicates Chronic Obstructive Pulmonary Disease Resulting in Functional Disability, and/or Hospitalization, and/or Requiring Bronchodilator Therapy, and/or FEV1>75% of Predicted.

In Pack-Years, average number of packs per day times year smoked.  (Do not include Pipe, Cigar Smoking, or Chewing Tobacco).

'Yes' indicates the patient is a current smoker.

'Yes' if 2 or More positive blood cultures, or new vegetations, or acute valve dysfunction of infectious cause, or on antibiotic RX for endocarditis within 2 weeks preceding surgery.

'Yes' indicates I.V. Nitroglycerine administered within 48 hours preceding surgery.

'Yes' indicates Percutaneous Transluminal Coronary Angioplasty performed or attempted within the 24 hours preceding surgery.

'Yes' indicates any form of Prior Heart Surgery performed through a Thoracotomy during separate, preceding hospitalization.

'Yes' indicates symptoms of Pulmonary Congestion or Low Cardiac Output Requiring Therapy with Digitalis, and/or Diuretic, and/or an ACE Inhibitor

'Yes' indicates use of any Digitalis preparation (Digoxin, Lanoxin, Digitoxin, etc.) within 2 weeks preceding surgery.

'Yes' indicates use of any Diuretic agent within 2 weeks preceding surgery.

'Yes' indicates obstruction of Arteries to Legs resulting in Symptoms, and/or Surgery, and/or Angiographically demonstrated Stenosis=>50%.

'Yes' indicates history of TIA, nonembolic stroke, or angiographic evidence of cerebral arterial obstruction => 50%, or Ulcerated plaque.

Enter 1-4 if two of the following occurred: 1)Typical Pain, 2)Enzyme Rise and Fall, and 3) New Q-waves on the electrocardiogram.

2 occured within a week before surgery:

3 occured more than a week before surgery

if two of the following occurred: a) Typical Pain, b) Enzyme Rise and Fall, and c) New Q-waves on the electrocardiogram.

'Yes' indicates intra-aortic balloon pump (IABP) in use at some time during the 48 hours preceding surgery.

'Yes' indicates angina occurring at rest or prolonged angina unresponsive to nitroglycerine.

I - heart disease with no symptoms limiting activity

II - slight limitation of physical activity by fatigue, dyspnea,

or angina

III - marked limitation of physical activity by fatigue, dyspnea,

or angina, but no symptoms at rest

IV - symptoms at rest and/or inability to carry out any physical

activity without symptoms of dyspnea, fatigue, or angina

'Yes' indicates any history of hypertension requiring therapy, and/or 2 or more blood pressures > 140/95.

'Yes' indicates rales heard at lung base(s) not clearing with cough and not due to pneumonic process within 2 weeks of surgery.

'Yes' indicates horizontal or downsloping ST-segment depression on the resting electrocardiogram => 0.5 mm within 2 weeks of surgery.

'Yes' indicates overall cardiac enlargement, and/or cardiothoracic ration => 0.5 on chest x-ray within the 30 days preceding surgery.

'Yes' indicates pleural effusion on any chest x-ray in the month preceding surgery.

This field identifies a number between 0 and 20, 1 decimal digit.

This field identifies the partial pressure of oxygen (in mm Hg) of oxygen in arterial blood while breathing room air for => 15 minutes (20-105).

This field identifies the forced expired volume in 1 second (FEV1) expressed as % of predicted normal value measured within the 6 months preceding surgery (10-100).

This field identifies the Left Ventricular Systolic pressure measured at the catheterization most closely preceding surgery.  Use the 1 most closely reflecting basal conditions (40-240).

This field identifies a number between 0 and 300, 0 decimal digits.

This field identifies a number between 0 and 150, 0 decimal digits.

This field identifies a number between 0 and 99, 0 decimal digits.

This field identifies the average right atrial pressure measured at the catheterization most closely preceding surgery.  Use the 1 most closely reflecting basal conditions (0-40).

This field identifies a number between 0 and 99, 0 decimal digits.

This field identifies the left ventricular ejection fraction measures by catheterization, radionuclide angiogram (MUGA), or echo within 6 months preceding surgery (.02 - .99).

This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view:  1-6.

This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view:  1-6.

This field identifies the score of the right anterior oblique contrast angiogram  or apical 2 chamber 2D echo view:  1-6.

This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view:  1-6.

This field identifies the score of the right anterior oblique contrast angiogram or apical 2 chamber 2D echo view:  1-6.

This gives % reduction in luminal diameter of most severe stenosis (0-100)

This gives number of major coronary arteries (LAD), right with PDA.

This gives % reduction in luminal diameter of most severe stenosis (0-100)

Score Distal Vessel Disease as 0, 2, or 3.

Gives % reduction in luminal diameter of most severe stenosis (0-100).  Include posterior descending regardless or origin.

This field identifies the Distal Vessel Disease as 0, 2, or 3.

Gives % reduction in luminal diameter of most severe stenosis; include all significant marginals (0-100).

Scores Distal Vessel Disease as 0, 2, or 3.

Grades according to general nutrition, concomitant non-cardiac diseases, mental status, debility, etc. (0-2).

This elective indicates No Alteration in Surgical Schedule, Urgent indicates Surgery must be performed within 24-72 hours, Emergent indicates surgery must be performed with 24 hours of diagnosis.

This field identifies a number between 0 and 100.

This allows the user to choose the intended operative procedure.

This field identifies the date/time the surgery began.  If this time and date precedes time and date that physician's estimate or mortality was entered, no estimated risk will be calculated.

This field identifies the number of distal anastomoses constructed with vein grafts (0-9).

This field identifies the number of distal anastomoses constructed with an internal mammary artery (0-4).

'Yes' indicates primary procedure was repair of aorta or other great vessels requiring left heart bypass with or without aortic valve replacement or CABG.

'Yes' indicates orthotopic or heterotopic transplant.  Heart-lung transplant should be listed under 'Other'.

'Yes' indicates mitral valve replacement was performed with or without additional procedure(s).

'Yes' indicates aortic valve replacement was performed with or without additional procedure(s).

'Yes' indicates tricuspid valve replacement was performed with cardiopulmonary bypass with or without additional procedure(s).

'Yes' indicates repair of any cardiac valve was performed with cardiopulmonary bypass with or without additional procedure(s).

'Yes' indicates resection or plication of left ventricular aneurysm with or without additional procedure(s).

This allows the user to enter information about other procedures.

This enters the total duration of aortic cross clamp time in minutes (0-600)

Should answer with 'Yes' or 'No'.

'Yes' indicates use of intra-aortic balloon regardless of whether placed pre- or intra-operatively.

'Yes' indicates death from any cause within 30 days of surgery in or out of the hospital, or after 30 days if a direct result of a surgical complication.

This field identifies the date of operative death.

'Yes' indicates an Intra-aortic balloon pump was used at any time during the post operative hospitalization, regardless of whether it had been placed earlier.

'Yes' indicates appearance of new or significantly widened Q-waves on postoperative electrocardiogram.

'Yes' indicates new onset of endocarditis diagnosed within the 30 days following surgery.

'Yes' indicates development of exacerbation of renal failure requiring initiation of dialysis during the postoperative hospitalization.

'Yes' indicates cardiac index < 2.0 L/min/M2 for => 6 hours postoperative or evidence of poor peripheral perfusion (e.g. IABP or sustained use of positive inotropic agents).

'Yes' indicates any infection below sternum during postoperative hospitalization or appearing within the 30 days following surgery.

'Yes' if any re-exploration of thorax for excessive bleeding during postoperative hospitalization.

'Yes' indicates any surgical procedure requiring cardiopulmonary bypass during post-operative hospitalization or within 30 days of initial operation.

'Yes' indicates total duration of ventilator-assisted respiration during postoperative hospitalization was => 48 hours.

'Yes' indicates significantly impaired level of consciousness (exclude transient disorientation or psychosis) for => 48 hours during postoperative hospitalization.

'Yes' indicates objective neurologic deficit lasting => 30 minutes with onset intra- or post-operatively.

This field identifies percutaneous transluminal coronary artery angioplasty.

This field identifies the LV Contraction score.

This field identifies the electrophysiologic procedure.

This field identifies the physician's estimate date.

This field identifies a number between 0 and 100, 2 decimal digits and is the estimate survival rate of the patient.

1)= S $P(^MCAR(694.5,DA,4),U,17)=DT

2)= S $P(^MCAR(694.5,DA,4),U,18)=""

This cross-reference updates the fields PHYSICIAN'S ESTIMATE (#107) and PHYSICIAN'S ESTIMATE DATE (#106).