使用格拉斯哥昏迷尺度,ASA身体状况分类和P-POSSUM得分预测紧急腹腔切除术后住院死亡率
Muhammad Asif1,2, Saeed Bin Ayaz, Faran Hamid1,2
1Department of General and Laparoscopic Surgery, Sheikh Khalifa Bin Zayed Al-Nahyan Hospital Muzaffarabad, Azad Jammu and Kashmir, Pakistan.
美国医学会的身体状况分类系统和P-POSSUM得分有效预测紧急腹腔切除术患者的死亡率. 格拉斯哥昏迷量表在此分析中效率较低.
科学领域:
- 一般外科 整体外科
- 外科手术的结果
- 患者预后 患者预后
背景情况:
- 紧急腹腔切除术存在重大风险.
- 预测死亡率对于患者管理至关重要.
- 格拉斯哥昏迷量表 (GCS),ASA身体状态分类系统和P-POSSUM得分是潜在的预测因素.
研究的目的:
- 评估GCS,ASA分类和P-POSSUM评分对紧急腹腔切除患者死亡率的预测重要性.
主要方法:
- 在接受紧急腹腔切除术的患者中进行了一项分析研究.
- 排除包括创伤,重复手术和特定程序 (尾切除术等). ) 的情况.
- 将GCS,ASA和P-POSSUM得分分类并分析它们与死亡率的相关性.
主要成果:
- 在50名患者中,12名 (24%) 死亡. 较高的P-POSSUM分数,较低的GCS分数和较高的ASA类 (p <0.001) 的死亡率增加.
- P-POSSUM显示了最高的预测性能 (0.987),其次是ASA (0.951).
- GCS显示较低的预测值 (0.411).
结论:
- 美国医学会的身体状况分类系统和P-POSSUM评分是紧急腹腔切除术后死亡率的重要预测指标.
- 这些评分系统可以帮助风险分层和患者管理.
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