“Surgical Apgar Score” predicts postoperative complications after cytoreduction for advanced ovarian cancer

Zighelboim, Israel; Kizer, Nora T.; Taylor, Nicholas; Case, Ashley S.; Gao, Feng; Thaker, Premal H.; Rader, Janet S.; Massad, L. Stewart; Mutch, David G.; Powell, Matthew A.

doi:10.1016/j.ygyno.2009.11.031

Cited by 59 publications

(55 citation statements)

References 20 publications

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“…They did not find any significant association between BMI and postoperative complications either. 7 The presence of comorbidity was found to be an independent predictor of adverse outcome in this study. This is consistent with the findings of aforementioned studies.…”

Section: Discussionsupporting

confidence: 49%

“…Iyer and colleagues and Zighelboim and colleagues found age to be a significant predictor of postoperative complications but it is relevant to point out here that they had included only gynecological oncology surgery patients while this study included all women undergoing laparotomy. 6,7 BMI was also not found to be associated with postoperative complications. Previous studies had found that unintentional weight loss, which is a marker of frailty, and morbid obesity (BMI ≥40 kg/m 2 ) are associated with increased major postoperative complications.…”

Section: Discussionmentioning

confidence: 75%

“…4,6,7 Zighelboim et al recorded comorbidities in the same way as was done in the study (described in ‗Materials and methods') and found multiple comorbidities to be significantly associated (p = <0.00001) with significant postoperative complications. 7 As seen from the results, SAS was found to be significantly associated with postoperative complications. This indicates that it can be appropriately used in the field of gynecology to predict postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Surgical Apgar score in prediction of post-operative complications in gynecological surgery

Ali

Mundkur

2016

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Apgar score in prediction of post-operative complications in gynecological surgery

Ali

Mundkur

2016

Int J Reprod Contracept Obstet Gynecol

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“…Although this score has been validated in selected orthopaedic procedures (10,11,12,13,14) we also wanted to observe the utility of the SAS in the trauma hip fracture surgery patients. Hip fracture surgery repairs are operations of different magnitude.…”

Section: Discussionmentioning

confidence: 99%

Implementing the Surgical Apgar Score in patients with trauma hip fracture

Sakan

Pavlović

Milošević

et al. 2015

Injury

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“…Originally developed in patients undergoing general and vascular surgery, the Surgical Apgar Score (SAS) was later validated in different surgical specialties, including colorectal, urological and gynaecological surgery [3][4][5], as well as in different international scenarios [6][7][8][9]. This 10-point score, which allows risk stratification in the postoperative setting, is based on three variables: the estimated blood loss (EBL), lowest heart rate (HR) and lowest mean arterial pressure (MAP) during surgery (Table 1).…”

Section: Introductionmentioning

confidence: 99%

Can the Surgical Apgar Score predict morbidity and mortality in general orthopaedic surgery?

Urrutia

Valdés

Zamora

et al. 2012

International Orthopaedics (SICOT)

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Purpose The Surgical Apgar Score (SAS) is a simple tally based on intra-operative heart rate, blood pressure and blood loss; it predicts 30-day major postoperative complications and mortality in different surgical fields, but no validation has been performed in general orthopaedic surgery. Methods A prospective assessment of the SAS in 723 consecutive patients undergoing major and intermediate orthopaedic procedures was performed in an 18-month period. The SAS was calculated immediately after surgery, and the occurrence of major complications or death was registered within a 30-day follow-up. Results Thirty-seven patients had ≥1 complication (5.12 %). The complication rate did not augment as the score decreased (SAS 9-1006.56 %; SAS 7-802.62 %; SAS 5-6 07.21 %; SAS ≤4 010.2 %), the relative risk did not augment as the score decreased and the likelihood ratio did not increase with decreasing SAS values, except in the subgroup of patients undergoing spine surgery. The Cstatistic was 0.59 (95 % confidence interval 0.48-0.69), a weak discriminatory value. Using a threshold of 7 to define high-risk and low-risk patients, the SAS allowed risk stratification only for spine surgery. Conclusions The SAS does not predict 30-day major complications and death in patients undergoing general orthopaedic surgery, but it is useful in the subgroup of patients undergoing spine surgery.

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“Surgical Apgar Score” predicts postoperative complications after cytoreduction for advanced ovarian cancer

Cited by 59 publications

References 20 publications

Surgical Apgar score in prediction of post-operative complications in gynecological surgery

Surgical Apgar score in prediction of post-operative complications in gynecological surgery

Implementing the Surgical Apgar Score in patients with trauma hip fracture

Can the Surgical Apgar Score predict morbidity and mortality in general orthopaedic surgery?

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