TABLE 1.
Positive Criteria | |
---|---|
Diabetes | Non–insulin-dependent or insulin-dependent diabetes |
Smoker | Cigarette smoking within the year before admission |
Steroid | Intake of steroids and/or immunosuppressive medications for a chronic condition within 30 d before surgery |
Weight loss | Weight loss greater than 10% of body weight within 6 mo before surgery |
SIRS | SIRS within 48 hours before surgery |
Sepsis | Septic shock within 48 h before surgery |
BMI | Obese (>30 kg/m2) |
Wound class | Contaminated or dirty/infected wound |
Ventilator dependence | Need for ventilator assisted respiration in the 48 h before surgery |
Ascites, congestive heart failure, COPD, dyspnea, hypertension | Conditions present within 30 d before the operation |
Open wound | Open wound in the skin with or without infection |
Disseminated cancer | Dissemination or metastasis of primary cancer within 1 y before surgery |
Bleeding disorder | Documented chronic hematologic disorder or medication use that interferes with clotting |
Acute renal failure | Present within 24 h before surgery |
Dialysis | Dialysis at any point within the 2 wk before surgery |
Transfusion | Documented events requiring at least 5 U of blood within the 72 h before surgery |
ASA class | ASA class ≥3 |
LOS | Prolonged LOS defined by the fourth quartile (>12 d) |
Age | Older (≥65 y) |
COPD, chronic obstructive pulmonary disease; SIRS, systemic inflammatory response syndrome.