Escore CR‐POSSUM e Índice de Apgar Cirúrgico como fatores preditivos para a alocação de pacientes após cirurgia colorretal

Pinho, Sílvia; Lagarto, F.; Gomes, B.; Costa, Liliana; Nunes, Catarina S.; Oliveira, Carla de

doi:10.1016/j.bjan.2018.01.002

Cited by 8 publications

(1 citation statement)

References 24 publications

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“…In 1996, Whiteley et al 5 found that POSSUM overestimated the postoperative mortality rate, and they revised the statistical regression equation, which was referred to as P-POSSUM. Thus far, POSSUM and P-POSSUM have been studied in colorectal and orthopedic fields, 6 , 7 but no research has been reported in elderly patients undergoing hepatobiliary and pancreatic surgery.…”

Section: Introductionmentioning

confidence: 99%

<p>Application of POSSUM and P-POSSUM in Surgical Risk Assessment of Elderly Patients Undergoing Hepatobiliary and Pancreatic Surgery</p>

Ruiqiang

Xia

et al. 2020

CIA

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Purpose To investigate the efficacy and accuracy of the Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM) and Portsmouth-POSSUM (P-POSSUM) scoring systems in the risk assessment of postoperative complications and death in elderly patients undergoing hepatobiliary and pancreatic surgery. Patients and Methods Using POSSUM and P-POSSUM, 274 elderly patients undergoing hepatobiliary and pancreatic surgery were evaluated, and the complications and deaths predicted by the systems were compared with the actual situation. The accuracy and predictive ability of POSSUM and P-POSSUM were evaluated using chi-squared and t -tests, consistency of predicted and actual complication rates (observed/expected, OE ratio), and receiver operating characteristic (ROC) curve. Results The complication rate predicted by POSSUM (R1) was 22.57%, while the actual postoperative complication rate was 17.88% (P>0.05). The mortality rate predicted by POSSUM (R2) was 4.61%, while the actual rate was 1.09% (P<0.05). The mortality rate predicted by P-POSSUM (R) was 1.42%, while the actual rate was 1.09% (P>0.05). Patients with complications had higher physiology scores (PS), operative severity scores (OS), and POSSUM scores than those without complications (P<0.05). Furthermore, PS, OS, and POSSUM scores were higher in the mortality group than in the survival group. However, the number of individuals in the mortality group was too small to accurately reflect the overall situation. Stratified analysis showed that consistency of the OE ratio in different subgroups was close to 1. The ROC curve showed that the area under the curve for the complication rate predicted by POSSUM was 0.76. Conclusion Although the postoperative mortality rate was higher than the actual value, POSSUM could accurately predict the postoperative complication rate in elderly patients undergoing hepatobiliary and pancreatic surgery. The P-POSSUM accurately predicted the postoperative mortality rate in this population. Patients with complications had higher POSSUM scores.

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Section: Introductionmentioning

confidence: 99%

<p>Application of POSSUM and P-POSSUM in Surgical Risk Assessment of Elderly Patients Undergoing Hepatobiliary and Pancreatic Surgery</p>

Ruiqiang

Xia

et al. 2020

CIA

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Development of the PIP score: A metric for predicting Intensive Care Unit admission among patients undergoing emergency laparotomy

Kitua

Khamisi

Salim

et al. 2022

Surgery in Practice and Science

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Surgical Apgar Score predictive value for early postoperative organ dysfunction in cancer patients

Buzincu

Tănase

Puf

et al. 2021

Acta Chirurgica Belgica

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Escore CR‐POSSUM e Índice de Apgar Cirúrgico como fatores preditivos para a alocação de pacientes após cirurgia colorretal

Abstract: Both CR-POSSUM and SAS were associated with the clinical decision to admit a patient to the high-dependency units/intensive care units immediately after surgery. CR-POSSUM alone showed a better discriminative capacity.

Cited by 8 publications

References 24 publications

<p>Application of POSSUM and P-POSSUM in Surgical Risk Assessment of Elderly Patients Undergoing Hepatobiliary and Pancreatic Surgery</p>

<p>Application of POSSUM and P-POSSUM in Surgical Risk Assessment of Elderly Patients Undergoing Hepatobiliary and Pancreatic Surgery</p>

Development of the PIP score: A metric for predicting Intensive Care Unit admission among patients undergoing emergency laparotomy

Surgical Apgar Score predictive value for early postoperative organ dysfunction in cancer patients

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