AUB-HAS2 Cardiovascular Risk Index
American University of Beirut (AUB-HAS2) Cardiovascular Risk Index: predicts death, myocardial infarction or stroke within 30 days of non-cardiac surgery from 6 elements. Derived in adults ≥ 40 years; validated in 1.17 million NSQIP patients.
Score interpretation
30-day death, MI or stroke 0.3 % (score 0) and 1.6 % (score 1) in the NSQIP validation cohort.
→ Low peri-operative cardiovascular risk: routine peri-operative care.
30-day death, MI or stroke 5.6 % (score 2) and 11.0 % (score 3) in the NSQIP validation cohort.
→ Optimise medical conditions before surgery; further cardiac testing only if it would change management.
30-day death, MI or stroke 17.5 % in the NSQIP validation cohort.
→ Discuss risk with the patient and team; optimise first and consider cardiology review and post-operative monitoring.
Interpretation bands for the AUB-HAS2. Apply clinical judgement and local guidance.
References
- Dakik HA, et al. A new index for pre-operative cardiovascular evaluation. J Am Coll Cardiol. 2019;73(24):3067–3078.
- Dakik HA, et al. AUB-HAS2 Cardiovascular Risk Index: performance in surgical subpopulations and comparison to the Revised Cardiac Risk Index. J Am Heart Assoc. 2020;9(10):e016228.
Related
Curated clinical cross-links plus same-class fallbacks.
- POSSUM Score for Surgical Morbidity and Mortality · Perioperative Risk
- SORT (Surgical Outcome Risk Tool) · Perioperative Risk
- Revised Cardiac Risk Index (RCRI / Lee Index) · Perioperative Risk
- ASA Physical Status Classification · Perioperative Risk
- Gupta Perioperative Risk for MI or Cardiac Arrest (MICA) · Perioperative Risk
- Cardiovascular Risk in Orthotopic Liver Transplantation (CAR-OLT) Score · Perioperative Risk
- Atorvastatin (CKD Cardiovascular Risk) · Cardiovascular Risk in CKD
- Icosapent Ethyl (Omega-3 — Cardiovascular Risk Reduction) · Omega-3 Fatty Acid (Purified EPA — Eicosapentaenoic Acid Ethyl Ester)
- Selexipag · Pulmonary Arterial Hypertension
- Macitentan · Pulmonary Arterial Hypertension
- Tenecteplase · Cardiovascular Emergency
- Tirofiban · Cardiovascular Emergency
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.