AUB-POCES

Q: AUB-POCES index includes all of the following EXCEPT?

A) history of heart disease

B) age ≥75 years

C) anemia with hemoglobin <8 mg/dL

D) vascular surgery

E) emergency surgery

                             

                             

Answer: C

                             

AUB-POCES index stands for American University of Beirut-Pre-Operative Cardiovascular Evaluation Study. It is a prospectively derived and validated preoperative cardiovascular risk index (CVRI) for patients undergoing noncardiac surgery. It became popular due to its ease to use. 

It has six components of risk which are identified by multivariate logistic regression analysis in the derivation cohort.

                             

1. history of heart disease

2. heart symptoms of angina or dyspnea

3. age ≥75 years

4. vascular surgery

5. emergency surgery.

The sixth component is anemia. Interestingly anemia level is set pretty high at <12 mg/dL 

The level of risk correlates well and steadily rises as the number of predictors rise.

AUB-POCES index is also known as AUB-HAS2 index.

#surgical-critical-care

#cardiology

References:

1. Dakik HA, Chehab O, Eldirani M, et al. A New Index for Pre-Operative Cardiovascular Evaluation. J Am Coll Cardiol 2019; 73:3067.

2. Dakik HA, Sbaity E, Msheik A, et al. AUB-HAS2 Cardiovascular Risk Index: Performance in Surgical Subpopulations and Comparison to the Revised Cardiac Risk Index. J Am Heart Assoc 2020; 9:e016228.