Takehiro Nagata1, Jun Hirose2,3, Takayuki Nakamura4, Takuya Tokunaga5, Yusuke Uehara6, Hiroshi Mizuta7. 1. Department of Orthopaedic Surgery, Faculty of Life Science, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. sr400na@gmail.com. 2. Department of Orthopaedic Surgery, Faculty of Life Science, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. hirojun-mk@umin.ac.jp. 3. Department of Medical Information Science and Administration Planning, Kumamoto University Hospital, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. hirojun-mk@umin.ac.jp. 4. Department of Orthopaedic Surgery, Faculty of Life Science, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. korokoro_0829@yahoo.co.jp. 5. Department of Orthopaedic Surgery, Faculty of Life Science, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. ttokunaga@fc.kuh.kumamoto-u.ac.jp. 6. Department of Orthopaedic Surgery, Faculty of Life Science, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. ue1nen@yahoo.co.jp. 7. Department of Orthopaedic Surgery, Faculty of Life Science, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. mizuta@kumamoto-u.ac.jp.
Abstract
PURPOSE: The purpose of this study was to investigate the utility of the Estimation of Physiologic Ability and Surgical Stress (E-PASS) scoring system for predicting post-operative morbidity. METHODS: We included 1,883 patients (mean age, 52.1 years) who underwent orthopaedic surgery. The post-operative complications were classified as surgical site and non-surgical site complications, and the relationship between the E-PASS scores and post-operative morbidity was investigated. RESULTS: The incidence of post-operative complications (n = 274) significantly increased with an increase in E-PASS scores (p < 0.001). The areas under the curve for the comprehensive risk score of the E-PASS scoring system for overall and non-surgical site complications were 0.777 and 0.794, respectively. CONCLUSIONS: The E-PASS scoring system showed some utility in predicting post-operative morbidity after general orthopaedic surgery. However, creating a new risk score that is more suitable for orthopaedic surgery will be challenging.
PURPOSE: The purpose of this study was to investigate the utility of the Estimation of Physiologic Ability and Surgical Stress (E-PASS) scoring system for predicting post-operative morbidity. METHODS: We included 1,883 patients (mean age, 52.1 years) who underwent orthopaedic surgery. The post-operative complications were classified as surgical site and non-surgical site complications, and the relationship between the E-PASS scores and post-operative morbidity was investigated. RESULTS: The incidence of post-operative complications (n = 274) significantly increased with an increase in E-PASS scores (p < 0.001). The areas under the curve for the comprehensive risk score of the E-PASS scoring system for overall and non-surgical site complications were 0.777 and 0.794, respectively. CONCLUSIONS: The E-PASS scoring system showed some utility in predicting post-operative morbidity after general orthopaedic surgery. However, creating a new risk score that is more suitable for orthopaedic surgery will be challenging.
Authors: Atul A Gawande; Mary R Kwaan; Scott E Regenbogen; Stuart A Lipsitz; Michael J Zinner Journal: J Am Coll Surg Date: 2006-12-27 Impact factor: 6.113
Authors: Tjun Tang; Stewart R Walsh; Thomas R Fanshawe; Jonathan H Gillard; Umar Sadat; Kevin Varty; Michael E Gaunt; Jonathan R Boyle Journal: Am J Surg Date: 2007-08 Impact factor: 2.565