Surgical Risk Scale (Sutton)

Surgical Risk Scale (3–14): CEPOD operative urgency + ASA grade + BUPA operative-magnitude grade; a score of 8 or more is a common high-risk threshold.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

CEPOD urgency
4
ASA grade
4
BUPA operative-magnitude grade
5

Result: Surgical Risk Scale 13 (CEPOD 4 + ASA 4 + BUPA 5): higher scores carry a higher in-hospital mortality; a score of 8 or more is a common high-risk threshold.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Use
a fast risk-adjusted-audit score; higher carries a higher in-hospital mortality (Sutton β 0.84, P < 0.001), with ≥8 a common high-risk threshold.

What you enter

  • CEPOD urgency (1–4)
  • ASA grade (1–5)
  • BUPA operative-magnitude grade (1–5)
How this is calculated
Components
CEPOD urgency (elective 1 to emergency 4) + ASA grade (1–5) + BUPA operative magnitude (minor 1 to complex-major 5) = 3–14.

Sutton R, Bann S, Brooks M, Sarin S. The Surgical Risk Scale as an improved tool for risk-adjusted analysis in comparative surgical audit. Br J Surg. 2002;89(6):763-768. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.