Appendix Table 1.
Preliminary Definition | Modifications After Expert Advisory Panel In-Person Discussion |
---|---|
ASA Risk: Class IV or V | NC |
Vulnerable elder19–22,24,25 | Vulnerable elder |
• Older adult >74 years old | • Older adult > 84 years old |
• Older adult >64 with any functional or cognitive disability | • Older adult >64 with any functional or cognitive disability |
Advanced cancer7,11,13,26 | NC |
• Stage III and IV solid cancers OR hematologic malignancies | |
• AND at least one hospitalization in prior year | |
Oxygen-dependent pulmonary disease11,13,59–62,84,85 | NC |
Heart failure diagnosis with any hospitalization or at least two ED visits in the past three years11,13,43,44 | Heart failure diagnosis with any all-cause hospitalization or at least two ED visits in the past six months |
Cirrhosis with any Child-Turcotte-Pugh Class or Model for End-Stage Liver Disease score11,13,45–48,50,86 | NC |
End-stage renal disease on dialysis or eligible for dialysis52–54 | NC |
Dementia with impaired daily function and at least one hospitalization in prior year11 | NC |
Trauma patients6,27 | NC |
• Severe traumatic brain injury with Abbreviated Injury Scale of 3 or greater | |
• Critical injury (Injury Severity Score >25 or >24 hours intensive care unit admission) | |
Frailty66–75 | NC |
Nursing home resident76–79 | NC |
ASA = American Society of Anesthesiology; NC = no change; ED = emergency department.