Predicts risk of MI, vascular death, and all-cause death in patients having non-cardiac surgery.
VISION Perioperative Risk Calculator
This tool uses preoperative NT-proBNP and other predictors to estimate perioperative cardiovascular risk up to 30 days after noncardiac surgery.
1. Preoperative NT-proBNP Level
Select the patient’s NT-proBNP level:
2. History of Ischemic Heart Disease
Does the patient have a history of ischemic heart disease (e.g., MI, angina)?
3. History of Congestive Heart Failure
Does the patient have a history of congestive heart failure?
4. History of Cerebrovascular Disease
Does the patient have a history of cerebrovascular disease (e.g., stroke, TIA)?
5. History of Diabetes Mellitus requiring insulin
Does the patient have diabetes mellitus requiring insulin therapy?
6. Preoperative Creatinine > 2.0 mg/dL
Is the patient’s preoperative creatinine level > 2.0 mg/dL?
7. High-Risk Surgery
Is the planned surgery considered high-risk (e.g., intraperitoneal, intrathoracic, suprainguinal vascular surgery)?
Disclaimer: This calculator is based on the VISION study, which uses preoperative NT-proBNP in addition to other predictors from the Revised Cardiac Risk Index to provide estimates of perioperative cardiovascular risk. The risk assessments provided (Low, Intermediate, High) are qualitative and based on general score ranges, as specific quantitative percentages for each outcome are not provided in the referenced text for direct implementation. This tool is for informational purposes only and does not constitute medical advice. It is a simplified representation and does not replace comprehensive clinical judgment. Always consult with a qualified healthcare professional for diagnosis, prognosis, and treatment decisions.
This calculator is inspired by the VISION perioperative risk assessment and the work of Duceppe et al. (Ann Intern Med. 2019).