Revised Cardiac Risk Index (RCRI) Calculator

Form

Results

1

What is RCRI Calculator?

The revised cardiac risk index counts six predictors of cardiac complications around noncardiac surgery.

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How to Use This Calculator

  1. Enter or select History of cerebrovascular disease?, History of congestive heart failure?, History of ischemic heart disease?, Pre-surgery creatinine level >2 mg/dL (176.8 µmol/L)?, Pre-surgery treatment with insulin?. Complete any remaining fields required by your chosen method.
  2. Check the unit beside each measurement. For a percentage or rate, use the scale and time period stated in the form.
  3. Choose Calculate, then compare the output with the formula and example below. If you change a value or option, calculate again to update the result.
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Formula Used

Add one point for each qualifying RCRI predictor.
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Variables Explained

InputWhat it means
History of cerebrovascular disease?Use the observed finding or laboratory value for this criterion, following the definition shown in the form.
History of congestive heart failure?Use the observed finding or laboratory value for this criterion, following the definition shown in the form.
History of ischemic heart disease?Use the observed finding or laboratory value for this criterion, following the definition shown in the form.
Pre-surgery creatinine level >2 mg/dL (176.8 µmol/L)?The laboratory creatinine concentration; mg/dL and µmol/L need different numeric values.
Pre-surgery treatment with insulin?Fasting insulin concentration for indices that require a fasting sample.
High risk noncardiac surgery?Use the observed finding or laboratory value for this criterion, following the definition shown in the form.
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Worked Example

A history of ischemic heart disease plus insulin treatment gives 2 points if other predictors are absent.

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Why Use This Calculator?

Use the calculation to make the method and its inputs easier to check with a healthcare professional. Its meaning depends on the clinical setting and on whether the underlying method is appropriate for that person.

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Common Mistakes

    • Definitions and outcome estimates differ by version; the score is only one part of perioperative assessment.
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Frequently Asked Questions

Is this result a diagnosis or treatment instruction?

No. It describes a calculation or score from the supplied information. A qualified clinician must check the measurements, the method’s applicability and the wider clinical picture.

Can I enter the units from any lab report?

Use the units specified in the form and select a conversion only where the page provides one. Different substances need different conversion factors; a mismatch can produce a plausible but incorrect result.

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Sources & References