Application of Hussman's preoperative risk assessment in predicting the intraoperative complications
- VernacularTitle:Hussman病情和体质状况评估方法预测围术期并发症
- Author:
Depeng XU
;
Yanyan ZHANG
;
Chao WANG
;
Lei YANG
;
Fuyan MA
;
Chunyi LIU
;
Xuecheng JIANG
- Keywords:
Anesthesia;
Surgery;
Risk assessment;
Risk prevention;
Complication
- From:
The Journal of Clinical Anesthesiology
2017;33(6):546-549
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore relationship of the anesthetic risks and intraoperative complications.Methods Preoperative anesthetic risks were assessed with Hussman's method from May 2015 to May 2016 in 2 494 surgical patients, including 1 462 males and 1 032 females.Intraoperative data and complications were tracked and recorded.Results Three hundred and thirty-six intraoperative complications occurred, accounting for 13.47% of total patients.The cardiovascular complications were a major intraoperative complications, accounting for 80.7%.2 494 patients were graded respectively into risk grade 1 with 1 540 (61.75%), grade 2 with 660 (26.46%), grade 3 with 202 (8.10%), grade 4 with 80 (3.21%) and grade 5 with 12 (0.48%).The incidence of complications were 112 (7.28%), 82 (12.42%), 82 (40.59%), 50 (62.50%) and 10 (83.33%) respectively.The sensitivity of prediction was 33.33%, 24.40%, 24.40%, 14.88% and 2.78%;the specificity 33.76%, 73.26%, 94.44%, 98.61% and 99.91%;and the accuracy 33.76%, 66.64%, 85.01%, 87.33% and 86.85%, respectively, in patients with risk grade 1, 2, 3, 4 and 5.Conclusion Hussman's method of anesthetic risks well predicts the intraoperative complications.
