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评估ASA,SORT和ACCI得分,预测部手术后需要接受术后重症监护病房的需要

Neslihan Gezer¹, Lütfiye Pirbudak¹, Elzem Sen¹

¹Gaziantep University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Gaziantep, Türkiye.

Turkish journal of anaesthesiology and reanimation

|May 14, 2025

概括

根据年龄调整的查尔森并发症指数 (ACCI) 得分有效地预测了老年人部手术后重症监护室 (ICU) 的入院情况. 老年和并发症是需要ICU的关键指标.

科学领域:

老年人手术是一门老年手术.
麻醉学麻醉学
医疗保健服务研究医疗服务研究

背景情况:

预测重症监护室 (ICU) 入院需求对于老年部手术患者的资源配置至关重要.
通常使用的是美国麻醉学会 (ASA) 和外科结果风险工具 (SORT) 等既定的风险评分.
根据年龄调整的查尔森并发症指数 (ACCI) 对这一特定人群的有用性需要进一步研究.

研究的目的:

评估ASA,SORT和ACCI分数在预测ICU入院要求方面的有效性.
确定影响65岁及以上接受关节手术的ICU入院决定的关键因素.

主要方法:

一项对450名65岁以上的部手术患者进行的回顾性研究.
患者被分为两组:术后ICU入院 (组1) 和病房转移 (组2).
所有患者的SORT和ACCI得分都被记录下来; ASA得分也被考虑.

主要成果:

需要接受ICU治疗的患者 (第一组) 比第二组的患者年龄大得多.
两组的SORT分数在两组之间没有显著差异.
ACCI显示诊断灵敏度为42.1%和特异性为70.8%,用于预测ICU入院.

结论:

ACCI评分是预测接受关节手术的老年患者需要ICU入院的有价值的工具.
在这个患者队列中观察到更高的ASA得分.
预测ICU入院的预测因素包括晚年,并发病 (高血压,糖尿病) 和手术前长时间的等待时间.

关键词:

在 ACCI ACCI 中.一个ASA ASA一个ASA.部手术部手术接受ICU治疗的患者排序方式排序方式

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