Surgical Apgar Score, Predictor of Post-Emergency Abdominal Surgery Outcome

Shaikh, Shameem Unnisa; Akther, Jawed

doi:10.7438/1584-9341-12-4-2

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, it was determined that the most prevalent major complication was respiratory infection, 21.62% which accounted for increased morbidity and mortality, this related to what another study in India where it was reported an increased pulmonary morbidity accounting 34% with high rate of pneumonia 19.7% [ 22 ]. The increased rate of respiratory infections in our settings we postulated that it could have been influenced by the COVID19 pandemic reflected on the study period.…”

Section: Discussionmentioning

confidence: 52%

“…The surgical site infection rate was 18.02%, this was more less compared to the overall surgical site infection rate of 25% which was described in the study done by Dullo et al [ 12 ]. The mortality rate was 16.22% this was significantly higher than 7.9% mortality rate determined at Kitui District Hospital in Kenya [ 12 ], however it related with the results from other studies with mortality rate from 15–27.7% [ 13 , 22 ].…”

Section: Discussionmentioning

confidence: 61%

See 1 more Smart Citation

Surgical Apgar Score can accurately predict the severity of post-operative complications following emergency laparotomy

Kyaruzi,

Chamshama,

Khamisi

et al. 2023

BMC Surg

View full text Add to dashboard Cite

Background The Surgical Apgar Score (SAS) describes a feasible and objective tool for predicting surgical outcomes. However, the accuracy of the score and its correlation with the complication severity has not been well established in many grounds of low resource settings. Objective To determine the accuracy of Surgical Apgar Score in predicting the severity of post-operative complications among patients undergoing emergency laparotomy at Muhimbili National Hospital. Methods A prospective cohort study was conducted for a period of 12 months; patients were followed for 30 days, the risk of complication was classified using the Surgical Apgar Score (SAS), severity of complication was estimated using the Clavien Dindo Classification (CDC) grading scheme and Comprehensive Complication Index (CCI). Spearman correlation and simple linear regression statistic models were applied to establish the relationship between Surgical Apgar Score (SAS) and Comprehensive Complication Index (CCI). The Accuracy of SAS was evaluated by determining its discriminatory capacity on Receiver Operating Characteristics (ROC) curve, data normality was tested by Shapiro–Wilk statistic 0.929 (p < 0.001).Analysis was done using International Business Machine Statistical Product and Service Solution (IBM SPSS) version 27. Results Out of the 111 patients who underwent emergency laparotomy, 71 (64%) were Male and the median age (IQR) was 49 (36, 59).The mean SAS was 4.86 (± 1.29) and the median CCI (IQR) was 36.20 (26.2, 42.40). Patients in the high-risk SAS group (0–4) were more likely to experience severe and life-threatening complications, with a mean CCI of 53.3 (95% CI: 47.2–63.4), compared to the low-risk SAS group (7–10) with a mean CCI of 21.0 (95% CI: 5.3–36.2). A negative correlation was observed between SAS and CCI, with a Spearman r of -0.575 (p < 0.001) and a regression coefficient b of -11.5 (p < 0.001). The SAS demonstrated good accuracy in predicting post-operative complications, with an area under the curve of 0.712 (95% CI: 0.523–0.902, p < 0.001) on the ROC. Conclusion This study has demonstrated that SAS can accurately predict the occurrence of complications following emergency laparotomy at Muhimbili National Hospital.

show abstract

Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 61%

Surgical Apgar Score can accurately predict the severity of post-operative complications following emergency laparotomy

Kyaruzi,

Chamshama,

Khamisi

et al. 2023

BMC Surg

View full text Add to dashboard Cite

show abstract

The utility of surgical Apgar score in predicting postoperative morbidity and mortality in general surgery

et al. 2022

View full text Add to dashboard Cite

Objective: Many surgical scoring systems are used to predict operative risk but most are complicated. The aim of the study was to determine the utility of the Surgical Apgar Score (SAS) in predicting post operative mortality and morbidity in general surgical cases. Material and Methods: This was a prospective observational study. All adult patients for emergency and elective general surgical procedures were included. Intraoperative data was collected, and post operative outcomes were followed up till 30 days. SAS was calculated from intraoperative lowest heart rate, lowest MAP and blood loss. Results: A total of 220 patients were included in the study. All consecutive general surgical procedures were included. Sixty of the 220 cases were emergency and the rest were elective. Forty-five (20.5%) of the patients developed complication. Mortality rate was 3.2% (7 out of 220). The cases were divided into high risk (0-4), moderate risk (5-8) and low risk (9-10) based on SAS. Complication and mortality rates were 50% and 8.3% in the high risk group, 23% and 3.7% in the moderate risk and 4.2% and 0 in the low risk group, respectively. Conclusion: The surgical Apgar score is a simple and valid predictor of postoperative morbidity and 30-day mortality among patients undergoing general surgeries. It is applicable to all types of surgeries for emergency and elective cases and irrespective of the patient general condition and type of anesthesia and surgery planned.

show abstract

Surgical Apgar Score, Predictor of Post-Emergency Abdominal Surgery Outcome

Cited by 2 publications

References 0 publications

Surgical Apgar Score can accurately predict the severity of post-operative complications following emergency laparotomy

Surgical Apgar Score can accurately predict the severity of post-operative complications following emergency laparotomy

The utility of surgical Apgar score in predicting postoperative morbidity and mortality in general surgery

Contact Info

Product

Resources

About