{"id":7189,"date":"2013-07-23T18:23:35","date_gmt":"2013-07-23T23:23:35","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/?p=7189"},"modified":"2013-07-23T18:23:35","modified_gmt":"2013-07-23T23:23:35","slug":"indice-de-calculo-de-riesgo-operatorio-goldman","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=7189","title":{"rendered":"Indice de calculo de riesgo operatorio (Goldman)."},"content":{"rendered":"

<\/h3>\n\n\n\n\n\n\n\n\n\n\n\n
Edad superior a los 70 a\u00f1os<\/td>\n5<\/td>\n<\/tr>\n
IAM en 6 meses previos<\/td>\n10<\/td>\n<\/tr>\n
Ingurgitaci\u00f3n yugular o galope<\/td>\n11<\/td>\n<\/tr>\n
Estenosis aortica hemodin\u00e1micamente significativa<\/td>\n3<\/td>\n<\/tr>\n
Ritmo no sinusal o extras\u00edstoles auriculares en el ECG<\/td>\n7<\/td>\n<\/tr>\n
M\u00e1s de 5 extras\u00edstoles ventriculares en cualquier ECG previo<\/td>\n7<\/td>\n<\/tr>\n
paO2 <60 torr o pa CO2 >50 torr<\/p>\n

K+ <3.0 mEq\/L o HCO3 <20 mEq\/L<\/p>\n

Creatinina mayor a 3.0 mg\/dL o BUN >50 mg\/dL<\/p>\n

TGO anormal o signos de hepatopat\u00eda cr\u00f3nica<\/td>\n

3<\/td>\n<\/tr>\n
Cirug\u00eda urgente<\/td>\n4<\/td>\n<\/tr>\n
Cirug\u00eda a\u00f3rtica, intrator\u00e1cica o intraperitoneal<\/td>\n3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n\n\n\n\n\n\n\n
\n

Nivel<\/i><\/b><\/p>\n<\/td>\n

\n

\u00a0<\/i><\/b><\/p>\n<\/td>\n

\n

Puntos<\/i><\/b><\/p>\n<\/td>\n

\n

Complicaci\u00f3n mayor (%)<\/i><\/b><\/p>\n<\/td>\n

\n

Mortalidad (%)<\/i><\/b><\/p>\n<\/td>\n<\/tr>\n

\n

I<\/p>\n<\/td>\n

\n

Bajo<\/p>\n<\/td>\n

\n

0 \u2013 5<\/p>\n<\/td>\n

\n

0.7<\/p>\n<\/td>\n

\n

0.2<\/p>\n<\/td>\n<\/tr>\n

\n

II<\/p>\n<\/td>\n

\n

Significativo<\/p>\n<\/td>\n

\n

6 \u2013 12<\/p>\n<\/td>\n

\n

5<\/p>\n<\/td>\n

\n

2<\/p>\n<\/td>\n<\/tr>\n

\n

III<\/p>\n<\/td>\n

\n

Moderado<\/p>\n<\/td>\n

\n

13 \u2013 25<\/p>\n<\/td>\n

\n

11<\/p>\n<\/td>\n

\n

2<\/p>\n<\/td>\n<\/tr>\n

\n

IV<\/p>\n<\/td>\n

\n

Alto<\/p>\n<\/td>\n

\n

> 26<\/p>\n<\/td>\n

\n

22<\/p>\n<\/td>\n

\n

56<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Fuente: Goldman N England J. Med 1977; 297: 345.<\/p>\n","protected":false},"excerpt":{"rendered":"

Edad superior a los 70 a\u00f1os 5 IAM en 6 meses previos 10 Ingurgitaci\u00f3n yugular o galope 11 Estenosis aortica hemodin\u00e1micamente significativa 3 Ritmo no sinusal o extras\u00edstoles auriculares en el ECG 7 M\u00e1s de 5 extras\u00edstoles ventriculares en cualquier ECG previo 7 paO2 <60 torr o pa CO2 >50 torr K+ <3.0 mEq\/L o … Continue reading “Indice de calculo de riesgo operatorio (Goldman).”<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-7189","post","type-post","status-publish","format-standard","hentry","category-cardiologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7189","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7189"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7189\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7189"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}