Surgical Apgar Score

Predict major complications and death within 30 days of general or vascular surgery, using intraoperative values at the end of the operation.

Indication

Predict major complications and death within 30 days of general or vascular surgery, using intraoperative values at the end of the operation.

id: ebl; label: Estimated blood loss (mL); type: options; options: value: 0; label: ≥1000; value: 1; label: 601–999; value: 2; label: 101–600; value: 3; label: ≤100
id: map; label: Lowest mean arterial pressure (mmHg); type: options; options: value: 0; label: <40; value: 1; label: 40–54; value: 2; label: 55–69; value: 3; label: ≥70
id: hr; label: Lowest heart rate (bpm); type: options; options: value: 0; label: >85; value: 1; label: 76–85; value: 2; label: 66–75; value: 3; label: 56–65; value: 4; label: ≤55

function(score) { if (score <= 4) return { risk: score + '/10', tier: 'Very High Risk', action: '~75% major complication rate, ~14% mortality. Consider ICU admission and intensive monitoring.', color: 'red' }; if (score <= 6) return { risk: score + '/10', tier: 'High Risk', action: '~27% complication rate, ~4% mortality. Consider step-down unit.', color: 'yellow' }; if (score <= 8) return { risk: score + '/10', tier: 'Moderate Risk', action: '~12% complication rate, ~1% mortality. Standard monitoring.', color: 'yellow' }; return { risk: score + '/10', tier: 'Low Risk', action: '~4% complication rate, ~0.5% mortality. Routine post-op care.', color: 'green' }; }

Predicts outcomes as well as more complex pre-operative scoring systems
Calculated immediately at the end of the case — enables proactive post-op planning
A score <7 should trigger consideration of ICU vs floor admission
Complements the pre-operative RCRI by adding intraoperative risk data