Pulmonology

ARISCAT Score: Predicting Postoperative Pulmonary Complications

ARISCAT Score Calculator

ARISCAT Score

Predicts the risk of postoperative pulmonary complications (PPC) within 30 days based on 7 validated preoperative factors.
Age
Patient’s current age
Preoperative SpO2
Measured on room air
Respiratory Infection
Within the last 1 month
Preoperative Anemia
Hemoglobin ≤ 10 g/dL
Surgical Incision Site
Select the most invasive site
Surgery Duration
Estimated or actual time
Emergency Surgery
Unplanned/Urgent intervention
0
Total Points
Risk Category
Estimated PPC Rate: -%
Score RangeRisk ClassPPC Rate (%)
< 26Low Risk1.6%
26 – 44Intermediate Risk13.3%
≥ 45High Risk42.1%
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PPC Definition: In the ARISCAT study, complications include respiratory failure, pneumonia, pleural effusion, atelectasis, pneumothorax, bronchospasm, or aspiration pneumonitis.
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Smoking Status: Interestingly, smoking was not an independent predictor in the original ARISCAT validation, though it remains a critical clinical factor for preoperative optimization.
For healthcare professionals only. Designed to support surgical planning and preoperative optimization.
Reference: Canet J, et al. Anesthesiology. 2010;113(6):1338-1350.
Reviewed by ·
Semahattin Serkan Sezer MD

Pulmonologist and Intensive Care Specialist specializing in clinical informatics and the development of evidence-based decision support tools for healthcare professionals.