Estimation of physiologic ability and surgical stress as a prediction scoring system for colonic surgery
10.3760/cma.j.issn.1673-9752.2010.06.006
- VernacularTitle:生理能力与手术侵袭度评分系统评估结肠癌手术风险的临床价值
- Author:
Qiang GAO
;
Xiaodong WANG
;
Zhiyun TANG
;
Peiyu CHEN
;
Xiong XIAO
;
Li LI
- Publication Type:Journal Article
- Keywords:
Colonic neoplasms;
Estimation of physiologic ability and surgical stress;
Surgical risks;
Complications
- From:
Chinese Journal of Digestive Surgery
2010;09(6):415-417
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate physiologic ability and surgical stress (E-PASS) for predicting postoperative complications in patients undergoing elective colonic surgery. Methods The clinical data of 158 patients with colonic cancer who were admitted to the West China Hospital from August to October, 2009 were retrospectively analyzed. E-PASS was applied to evaluate the surgical risk. Three indexes of the E-PASS system,including preoperative risk score (PRS), surgical stress score (SSS) and comprehensive risk score (CRS) were compared with actual postoperative outcomes. Correlation between PRS, SSS, CRS and postoperative risks was analyzed using multiple linear regression analysis. Results Of the 158 patients, 27( 17.1% ) had postoperative complications, and the predictive value was 19.4% ± 2.0% according to the E-PASS. Dukes stages, physical performance indexes, severe heart disease, severe pneumonia disease, length of operation time were correlated with the incidence of complications (r = 0. 193, 0. 410, 0. 183, 0. 174, 0. 198, P ＜ 0.05). PRS, CRS and SSS had good predictive effect on postoperative risks (r = 0. 299, 0. 349, 0. 183, P ＜ 0. 05 ). Conclusions E-PASS system is a relatively simple, fast and user friendly tool for predicting the risk of short-term postoperative complications.
