Construction and evaluation of multidisciplinary risk assessment model during the perioperative period for cardiovascular patients undergoing non-cardiac surgery in outpatient settings
CHEN Jianfeng
ZHOU Ruihao
LI Peiyi
HAO Xuechao
CHEN Guo
ZHU Tao
Abstract：Objective To analyze the current status of the"4+X"multidisciplinary preoperative risk assessment model implemented in the outpatient setting at West China Hospital of Sichuan University and evaluate the feasibility and clinical value of multidisciplinary preoperative risk assessment model.Methods A retrospective study was conducted on 20 patients who underwent multidisciplinary perio-perative risk assessment in the outpatient setting of West China Hospital of Sichuan University from December 2022 to December 2023.Patient demographics and consultation outcomes were systematically reviewed.Results A total of 20 patients underwent multidisciplinary preoperative risk assessment through the"4+X"model.Among them,15 cases had modifications to their initial treatment plans.The in-hospital and 30-day mortality rates were both zero,and no adverse events were reported.All patients who underwent surgery achieved uneventful discharge,demonstrating an average hospital stay of 13.8 days.Conclusion The"4+X"multidisciplinary preoperative risk assessment model allows for a comprehensive evaluation of non-cardiac surgical risks in cardiovascular patients.It reduces hospitalization duration,lowers the incidence of adverse events,simplifies the hospitalization process,improves patient satisfaction,and enhances col-laborative cooperation among hospital departments.This model holds strong potential for wider adoption and implementation.
Keywords：perioperative risk assessmentmultidisciplinary diagnosis and treatmentanesthesiology
Publication Date：2025-06-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 221-226 )