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Gupta MICA

Predicts perioperative MI/cardiac arrest risk using logistic regression

When to Use

  • Patients >= 18 years undergoing non-cardiac surgery under general anesthesia
  • More granular risk estimate than RCRI — accounts for surgery type and ASA class
  • Useful when RCRI score is borderline (1-2) and further stratification is needed

When NOT to Use

  • Cardiac surgery patients (different risk profile)
  • Procedures under local anesthesia only
  • Emergency surgery where result will not change management
Age (years)
years
Surgery Type
ASA Physical Status
Functional Status
Creatinine

Evidence & References

  • Gupta PK, Gupta H, Sundaram A, et al. Development and validation of a risk calculator for prediction of cardiac risk after surgery. Circulation. 2011;124(4):381-387.PMID: 21730309
Disclaimer: This calculator is a clinical decision aid and does not replace clinical judgment. Always consider the full clinical context when making patient care decisions.