Preoperative APACHE II and ASA Scores in Patients Having Major General Surgical Operations: Prognostic Value and Potential Clinical Applications
Objective: To assess the prognostic value of the APACHE II score and the American Society of Anesthesiologists (ASA) classification system in preoperative evaluation of patients. Design: Prospective study. Setting: University hospital, Italy. Subjects: 187 consecutive patients undergoing elective or...
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Veröffentlicht in: | The European journal of surgery 1999-09, Vol.165 (8), p.730-735 |
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container_title | The European journal of surgery |
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creator | Luigi Goffi, Vittorio Saba, Roberto Ghiselli, Stefano Necozione, Antonella Mattei, Flavia Carle |
description | Objective: To assess the prognostic value of the APACHE II score and the American Society of Anesthesiologists (ASA) classification system in preoperative evaluation of patients. Design: Prospective study. Setting: University hospital, Italy. Subjects: 187 consecutive patients undergoing elective or emergency major general surgical operations. Interventions: Patients were evaluated preoperatively using both indices. Main outcome measures: Morbidity and mortality within 30 days. Results: Logistic regression and ROC curve analyses showed that the APACHE II score predicted morbidity and mortality well; it was superior to the ASA system in predicting outcome (area under the curve 0.894 for the APACHE II index, 0.777 for the ASA system; p < 0.001). The APACHE II score without its age points (area 0.888) had the same prognostic value as the complete score (area 0.894; p = 0.55). Conclusions: The APACHE II score may help clinicians to evaluate preoperatively the risk of postoperative morbidity and death after major general surgical operations. Age does not seem to have a specific weight. |
doi_str_mv | 10.3109/11024159950189483 |
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Design: Prospective study. Setting: University hospital, Italy. Subjects: 187 consecutive patients undergoing elective or emergency major general surgical operations. Interventions: Patients were evaluated preoperatively using both indices. Main outcome measures: Morbidity and mortality within 30 days. Results: Logistic regression and ROC curve analyses showed that the APACHE II score predicted morbidity and mortality well; it was superior to the ASA system in predicting outcome (area under the curve 0.894 for the APACHE II index, 0.777 for the ASA system; p < 0.001). The APACHE II score without its age points (area 0.888) had the same prognostic value as the complete score (area 0.894; p = 0.55). Conclusions: The APACHE II score may help clinicians to evaluate preoperatively the risk of postoperative morbidity and death after major general surgical operations. Age does not seem to have a specific weight.</description><identifier>ISSN: 1102-4151</identifier><identifier>EISSN: 1741-9271</identifier><identifier>DOI: 10.3109/11024159950189483</identifier><language>eng</language><publisher>Informa UK Ltd</publisher><ispartof>The European journal of surgery, 1999-09, Vol.165 (8), p.730-735</ispartof><rights>1999 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Luigi Goffi, Vittorio Saba, Roberto Ghiselli, Stefano Necozione, Antonella Mattei, Flavia Carle</creatorcontrib><title>Preoperative APACHE II and ASA Scores in Patients Having Major General Surgical Operations: Prognostic Value and Potential Clinical Applications</title><title>The European journal of surgery</title><description>Objective: To assess the prognostic value of the APACHE II score and the American Society of Anesthesiologists (ASA) classification system in preoperative evaluation of patients. Design: Prospective study. Setting: University hospital, Italy. Subjects: 187 consecutive patients undergoing elective or emergency major general surgical operations. Interventions: Patients were evaluated preoperatively using both indices. Main outcome measures: Morbidity and mortality within 30 days. Results: Logistic regression and ROC curve analyses showed that the APACHE II score predicted morbidity and mortality well; it was superior to the ASA system in predicting outcome (area under the curve 0.894 for the APACHE II index, 0.777 for the ASA system; p < 0.001). The APACHE II score without its age points (area 0.888) had the same prognostic value as the complete score (area 0.894; p = 0.55). Conclusions: The APACHE II score may help clinicians to evaluate preoperatively the risk of postoperative morbidity and death after major general surgical operations. Age does not seem to have a specific weight.</description><issn>1102-4151</issn><issn>1741-9271</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNqlkM1KxDAUhYMoOP48gLv7AtXctkMnugpltLMQAxW3JdRMJyUmJUnnOXxkY3Xn0tU9cL_vLA4hN0hvC6TsDpHmJa4ZW1PcsHJTnJAVViVmLK_wNOX0zxKA5-QihJFSikWVr8in8MpNysuojwq44HWzhd0OpH0H3nJoe-dVAG1BJETZGKCRR20HeJaj8_CkbJINtLMfdJ_Cy0-Zs-EehHeDdSHqHt6kmdXSKlxMNTqhtdF2cfg0mRQW64qc7aUJ6vr3XpKHx-1r3WTa7p3_kAclTTz00qtudLO3iemQdt8jdH9GKP5nfwEWB2k9</recordid><startdate>19990917</startdate><enddate>19990917</enddate><creator>Luigi Goffi, Vittorio Saba, Roberto Ghiselli, Stefano Necozione, Antonella Mattei, Flavia Carle</creator><general>Informa UK Ltd</general><scope/></search><sort><creationdate>19990917</creationdate><title>Preoperative APACHE II and ASA Scores in Patients Having Major General Surgical Operations: Prognostic Value and Potential Clinical Applications</title><author>Luigi Goffi, Vittorio Saba, Roberto Ghiselli, Stefano Necozione, Antonella Mattei, Flavia Carle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-informahealthcare_journals_10_3109_110241599501894833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luigi Goffi, Vittorio Saba, Roberto Ghiselli, Stefano Necozione, Antonella Mattei, Flavia Carle</creatorcontrib><jtitle>The European journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luigi Goffi, Vittorio Saba, Roberto Ghiselli, Stefano Necozione, Antonella Mattei, Flavia Carle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative APACHE II and ASA Scores in Patients Having Major General Surgical Operations: Prognostic Value and Potential Clinical Applications</atitle><jtitle>The European journal of surgery</jtitle><date>1999-09-17</date><risdate>1999</risdate><volume>165</volume><issue>8</issue><spage>730</spage><epage>735</epage><pages>730-735</pages><issn>1102-4151</issn><eissn>1741-9271</eissn><abstract>Objective: To assess the prognostic value of the APACHE II score and the American Society of Anesthesiologists (ASA) classification system in preoperative evaluation of patients. Design: Prospective study. Setting: University hospital, Italy. Subjects: 187 consecutive patients undergoing elective or emergency major general surgical operations. Interventions: Patients were evaluated preoperatively using both indices. Main outcome measures: Morbidity and mortality within 30 days. Results: Logistic regression and ROC curve analyses showed that the APACHE II score predicted morbidity and mortality well; it was superior to the ASA system in predicting outcome (area under the curve 0.894 for the APACHE II index, 0.777 for the ASA system; p < 0.001). The APACHE II score without its age points (area 0.888) had the same prognostic value as the complete score (area 0.894; p = 0.55). Conclusions: The APACHE II score may help clinicians to evaluate preoperatively the risk of postoperative morbidity and death after major general surgical operations. Age does not seem to have a specific weight.</abstract><pub>Informa UK Ltd</pub><doi>10.3109/11024159950189483</doi></addata></record> |
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source | Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
title | Preoperative APACHE II and ASA Scores in Patients Having Major General Surgical Operations: Prognostic Value and Potential Clinical Applications |
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