Recommendations for Collection of Medical History
Recommendation | Class of recommendation | Level of evidence |
---|---|---|
Obtain clinical history directly from the patient undergoing the procedure | I | C |
Collect information in a succinct, objective, and focused manner, considering only the data relevant to the risk stratification algorithm used | IIa | B |
In situations where direct data collection from the patient is impossible, obtain the data from relatives, acquaintances, or with the health professional who is accompanying the patient | IIa | C |
Do not collect information from the patient's clinical history in the perioperative risk assessment | III | C |