OBJECTIVE: To compare the Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity, Portsmouth adjustment (P-POSSUM), the Hardman index and the Glasgow aneurysm score (GAS) in the prediction of hospital mortality after abdominal aortic aneurysm (AAA) repair. METHODS: Medical charts of 146 AAA patients treated between January 1996 and January 2007 were reviewed. The P-POSSUM, Hardman index and GAS were calculated for each patient. The scores were tested and compared for their discriminatory ability to predict hospital death. RESULTS: Of the 146 patients with ruptured and unruptured AAAs (133 underwent open repair, five underwent extra-anatomical bypass and eight underwent endovascular aneurysm repair), 18 died (12%) after AAA repair. The areas under the receiver operating characteristic curves for the GAS, Hardman index and P-POSSUM for predicting hospital mortality were 0.740, 0.730 and 0.886, respectively. The area under the receiver operating characteristic curve for the P-POSSUM was significantly higher than those of other scores. CONCLUSION: In the present study, the P-POSSUM was the best predictor of hospital mortality for patients undergoing AAA repair.
OBJECTIVE: To compare the Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity, Portsmouth adjustment (P-POSSUM), the Hardman index and the Glasgow aneurysm score (GAS) in the prediction of hospital mortality after abdominal aortic aneurysm (AAA) repair. METHODS: Medical charts of 146 AAA patients treated between January 1996 and January 2007 were reviewed. The P-POSSUM, Hardman index and GAS were calculated for each patient. The scores were tested and compared for their discriminatory ability to predict hospital death. RESULTS: Of the 146 patients with ruptured and unruptured AAAs (133 underwent open repair, five underwent extra-anatomical bypass and eight underwent endovascular aneurysm repair), 18 died (12%) after AAA repair. The areas under the receiver operating characteristic curves for the GAS, Hardman index and P-POSSUM for predicting hospital mortality were 0.740, 0.730 and 0.886, respectively. The area under the receiver operating characteristic curve for the P-POSSUM was significantly higher than those of other scores. CONCLUSION: In the present study, the P-POSSUM was the best predictor of hospital mortality for patients undergoing AAA repair.
Authors: T S Huber; J G Wang; A E Derrow; D A Dame; C K Ozaki; G B Zelenock; T C Flynn; J M Seeger Journal: J Vasc Surg Date: 2001-02 Impact factor: 4.268
Authors: Ha Nee Jang; Hyun Oh Park; Jun Ho Yang; Tae Won Yang; Joung Hun Byun; Seong Ho Moon; Sung Hwan Kim; Jong Woo Kim; Chung Eun Lee Journal: Vasc Specialist Int Date: 2017-09-30