ACS NSQIP Surgical Risk Calculator

Estimate patient-specific odds of death, any complication, surgical site infection, and prolonged length of stay using the ACS NSQIP model, which pairs a CPT procedure code with twenty preoperative variables drawn from over five million operations.

Age (years)
Sex
Functional status
ASA class
Procedure risk category
Dyspnea
Systemic sepsis
Comorbidities
26.6%any complication
Elevated estimated perioperative risk — targeted preoperative optimisation is warranted.
Estimated outcome risks
OutcomeEstimated risk
Any complication26.6%
Serious complication19.0%
Pneumonia4.3%
Cardiac complication2.9%
Surgical site infection12.1%
Urinary tract infection5.3%
Venous thromboembolism3.2%
Renal failure2.2%
Readmission24.2%
Return to OR13.3%
Death4.6%
Discharge to nursing facility19.0%
Length of stay (estimated)4.0 days
Educational estimate — not the official NSQIP model

This tool approximates the structure of the ACS NSQIP Universal Surgical Risk Calculator (Bilimoria KY, et al. J Am Coll Surg 2013;217(5):833-42), which is a set of logistic regression models over 21 preoperative factors. The full NSQIP coefficient tables are proprietary and are not published, so the estimates here are a transparent, documented approximation: a baseline log-odds per outcome adjusted by additive contributions for each risk factor and passed through the logistic function. They are for education only and must not be used for clinical decision-making.

For the official, validated estimates, use the ACS NSQIP Surgical Risk Calculator at riskcalculator.facs.org, which requires the specific CPT procedure code and returns the published model output.

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How It Works

Estimate patient-specific odds of death, any complication, surgical site infection, and prolonged length of stay using the ACS NSQIP model, which pairs a CPT procedure code with twenty preoperative variables drawn from over five million operations

Each component has a specific meaning:

  • ACS NSQIP model — The acs nsqip model recorded for the scenario being assessed.
  • Which pairs a CPT procedure code — The which pairs a cpt procedure code recorded for the scenario being assessed.

Note: Interpret the nsqip risk calculator result against the thresholds and context described above.

How to Use

Enter the ACS NSQIP model, which pairs a CPT procedure code for the scenario you are assessing. Estimate patient-specific odds of death, any complication, surgical site infection, and prolonged length of stay using the ACS NSQIP model, which pairs a CPT procedure code with twenty preoperative variables drawn from over five million operations. Use the nsqip risk calculator result to inform your calculation.

Frequently Asked Questions