Erschienen in:
01.03.2009 | Editorial
Adjusting clinical prediction rules: an academic exercise or the potential for real world clinical applications in perioperative medicine?
verfasst von:
Penelope M. A. Brasher, PhD, W. Scott Beattie, MD, PhD
Erschienen in:
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
|
Ausgabe 3/2009
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Excerpt
To some, the subject of clinical prediction rules would seem an arcane exercise of limited utility to the everyday clinical anesthesiologist. Nothing could be further from the truth. Clinical prediction rules are plentiful and are in wide-ranging use in everyday practice. The American Society of Anesthesiologists’ physical status classification is one of the most widely used indices of preoperative physical status, and is easy to commit to memory. Thus, it has stood the test of time. Remarkably, it was introduced into everyday practice with little in the way of derivation, validation, or testing, yet it has been proven to perform as well as the Original (Goldman) Cardiac Risk Index,
1 the Detsky Index,
2 or the Revised Cardiac Risk Index.
3 …