Related Experiment Video

Updated: Aug 11, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

11.7K

Comparison of the performance of the AUB-HAS2 Cardiovascular Risk Index in emergency vs elective surgeries

Eman Sbaity1, Hani Tamim1, Nader G Zalaquett1

  • 1American University of Beirut Medical Center, Beirut, Lebanon.

Journal of Cardiology
|February 21, 2024
PubMed

Insights

The AUB-HAS2 Cardiovascular Risk Index effectively stratifies risk for both emergency and elective surgeries. This validated tool demonstrates good discriminatory power, aiding preoperative cardiovascular evaluation.

Area of Science:

  • Cardiovascular Surgery
  • Surgical Risk Assessment
  • Health Services Research

Background:

  • The AUB-HAS2 Cardiovascular Risk Index is a novel tool for preoperative cardiovascular risk assessment.
  • It incorporates six key data elements: cardiac history, angina/dyspnea symptoms, age ≥ 75, hemoglobin < 12 g/dL, vascular surgery, and emergency surgery.

Purpose of the Study:

  • To compare the performance and risk stratification capabilities of the AUB-HAS2 index in emergency versus elective non-cardiac surgeries.
  • To evaluate the index's discriminatory power across different surgical settings.

Main Methods:

  • Analysis of 1,167,414 non-cardiac surgeries from the American College of Surgeons National Surgical Quality Improvement Program database.
  • Patients were assigned an AUB-HAS2 score based on the presence of the six risk factors.
  • Outcomes measured included 30-day mortality, myocardial infarction, and stroke.

Main Results:

  • The AUB-HAS2 index demonstrated a gradual increase in risk with higher scores in both emergency (7.0%) and elective (1.4%) surgery cohorts (p<0.0001).
  • The index exhibited good and comparable discriminatory power in both groups, with AUCs of 0.804 for emergency and 0.791 for elective surgeries.
  • Higher incidence of adverse outcomes was observed in emergency surgeries compared to elective surgeries (p<0.0001).

Conclusions:

  • The AUB-HAS2 index is a versatile and effective tool for stratifying cardiovascular risk in both emergency and elective surgical patients.
  • The index possesses good discriminatory power, proving equally useful across diverse surgical contexts.
Abstract

Keywords:
AUB-HAS2 Cardiovascular Risk IndexElective surgeryEmergency surgery

More Related Videos

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta07:12

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta

Published on: September 8, 2023

2.4K
Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients08:37

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients

Published on: April 18, 2025

297

Related Concept Videos

Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...