지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1,401 - 1,407 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: The Physiological and Operative Severity Score for enUmeration of Mortality and morbidity (POSSUM) and its Portsmouthmodification (P-POSSUM) are comprehensive assessment methods for evaluating patient and surgical factors widely used to predict 30-day mortality rates. In this retrospective study, we evaluated the usefulness of POSSUM and P-POSSUM in predicting30-day mortality after intraoperative cardiac arrests in adult patients undergoing non-cardiac surgery.
Materials and Methods: Among 190486 patients who underwent anesthesia, 51 experienced intraoperative cardiac arrest as definedin our study protocol. Predicted mortality rates were calculated using POSSUM and P-POSSUM equations and were comparedwith actual outcomes using exponential and linear analyses. In addition, a receiver operating characteristic curve analysis was undertaken, and area-under-the-curve (AUC) values with confidence intervals (CIs) were calculated for POSSUM and P-POSSUM.
Results: Among the 51 patients with intraoperative cardiac arrest, 32 (62.7%) died within 30 days postoperatively. The overall predicted30-day mortality rates using POSSUM and P-POSSUM were 65.5% and 57.5%, respectively. The observed-to-predicted (O:E) ratio for the POSSUM 30-day mortality was 1.07, with no significant difference between the observed and predicted values (χ2=4.794; p=0.779). P-POSSUM predicted mortality equally well, with an O:E ratio of 1.10 (χ2=8.905; p=0.350). AUC values (95% CI) were 0.771 (0.634–0.908) and 0.785 (0.651–0.918) for POSSUM and P-POSSUM, respectively.
Conclusion: Both POSSUM and P-POSSUM performed well to predict overall 30-day mortality following intraoperative cardiac arrest in adults undergoing non-cardiac surgery at a university teaching hospital in Korea.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Aschauer S / 2014 / A prediction tool for initial out-of-hospital cardiac arrest survivors / Resuscitation 85 : 1225 ~ 1231
Bennett-Guerrero E / 2003 / Comparison of P-POSSUM risk-adjusted mortality rates after surgery between patients in the USA and the UK / Br J Surg 90 : 1593 ~ 1598
Chan PS / 2012 / A validated prediction tool for initial survivors of in-hospital cardiac arrest / Arch Intern Med 172 : 947 ~ 953
Chen T / 2013 / POSSUM and PPOSSUM as predictors of postoperative morbidity and mortality in patients undergoing hepato-biliary-pancreatic surgery: a metaanalysis / Ann Surg
Copeland GP / 1991 / POSSUM: a scoring system for surgical audit / Br J Surg 78 : 355 ~ 360
Bennett-Guerrero E / 2003 / Comparison of P-POSSUM risk-adjusted mortality rates after surgery between patients in the USA and the UK / Br J Surg 90 : 1593 ~ 1598
Chan PS / 2012 / A validated prediction tool for initial survivors of in-hospital cardiac arrest / Arch Intern Med 172 : 947 ~ 953
Chen T / 2013 / POSSUM and PPOSSUM as predictors of postoperative morbidity and mortality in patients undergoing hepato-biliary-pancreatic surgery: a metaanalysis / Ann Surg
Copeland GP / 1991 / POSSUM: a scoring system for surgical audit / Br J Surg 78 : 355 ~ 360
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
응급실로 내원한 비외상성 복막염 환자의 위험 예측 모델로서 P-POSSUM 및 맨하임 복막염 지수(Mannheim Peritonitis Index) 평가를 위한 단일 응급센터 연구
대한응급의학회지
2022 .04
-
Might simple peripheral blood parameters be an early indicator in the prediction of severity and morbidity of cholecystitis?
Annals of Surgical Treatment and Research
2023 .06
-
Long-term Survival in Korean Elderly Patients with Symptomatic Severe Aortic Stenosis Who Refused Aortic Valve Replacement
Korean Circulation Journal
2019 .01
-
Increased Mortality in Young-Onset Parkinson’s Disease
Journal Of Movement Disorders
2021 .09
-
Analysis of perioperative cardiac arrest in a rural hospital in Korea
Anesthesia and Pain Medicine
2020 .01
-
Moderate to Severe Left Ventricular Ejection Fraction Related to Short-term Mortality of Patients with Post-cardiac Arrest Syndrome after Out-of-Hospital Cardiac Arrest
Acute and Critical Care
2016 .01
-
Perioperative adverse cardiac events and mortality after non-cardiac surgery: a multicenter study
Korean Journal of Anesthesiology
2024 .02
-
Erratum: Moderate to Severe Left Ventricular Ejection Fraction Related to Short-term Mortality of Patients with Post-cardiac Arrest Syndrome after Out-of-Hospital Cardiac Arrest
Acute and Critical Care
2017 .01
-
Public-health impact of outdoor air pollution for 2nd air pollution management policy in Seoul metropolitan area, Korea
대한직업환경의학회지
2015 .02
-
Mortality risk factor analysis in colonic perforation : would retroperitoneal contamination increase mortality in colonic perforation?
Annals of Surgical Treatment and Research
2017 .10
-
Main outcomes of the Sudden cardiac arrest survey 2006 to 2016
Clinical and Experimental Emergency Medicine
2019 .01
-
Prediction of COVID-19-related Mortality and 30-Day and 60-Day Survival Probabilities Using a Nomogram
Journal of Korean Medical Science
2021 .09
-
Association Between the Red Blood Cell Distribution Width and 30-Day Mortality in Intensive Care Patients Undergoing Cardiac Surgery: A Retrospective Observational Study Based on the Medical Information Mart for Intensive Care-IV Database
Annals of Laboratory Medicine
2024 .09
-
Recent Update in Out-of-Hospital Cardiac Arrests in Korea
Korean Circulation Journal
2021 .10
-
심장정지 인지를 위한 360° 가상현실과 일반 동영상 개발: 순차적 혼합 연구
한국응급구조학회지
2021 .08
-
The Association Between Inter-Hospital Transfers and the Prognosis of Pediatric Injury in the Emergency Department
Journal of Korean Medical Science
2024 .01
-
Emergency Surgical Management of Traumatic Cardiac Injury in Single Institution for Three Years
Journal of trauma and injury : JTI
2017 .01
-
C2 Fractures in the Elderly: Single-Center Evaluation of Risk Factors for Mortality
Asian Spine Journal
2019 .01
-
Use of the National Early Warning Score for predicting in-hospital mortality in older adults admitted to the emergency department
Clinical and Experimental Emergency Medicine
2020 .01
-
Association of Preoperative Risk Factors and Mortality in Older Patients following Emergency Abdominal Surgery: A Retrospective Cohort Study
Annals of geriatric medicine and research
2021 .12
이 논문의 저자 정보
최근 본 자료
댓글(0)
0