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Prospective validation of the Urgent Surgery Elderly Mortality risk score (USEM)
Inés Eguaras Córdoba1, Pablo Sánchez Acedo2, Javier Herrera Cabezon2
1Complejo Hospitalario de Navarra, Irunlarrea s/n 31008, Pamplona, Navarra, Spain.
Introduction:
We aimed to test the predictive ability and to compare the predictive ability of the USEM to SRS, SORT and ASA in a prospective sample.
Patients And Methods:
A Prospective cohort of >65-year-old patients undergoing urgent abdominal surgery in a Hospital. Models calibration and discrimination were evaluated using the receiver operating characteristics curves and the Hosmer-Lemeshow test.
Results:
A total of 500 patients with a median age of 78 years were included. The AUROC in the validation cohort was 0.824. The USEM overestimated mortality (Test Hosmer-Lemeshow p < 0.001), after recalibration the USEM provided an accurate prediction of postoperative mortality.
Conclusions:
After the recalibration, the USEM had good discriminant power to estimate the risk of mortality in elderly patients after urgent abdominal surgery.
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