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Validation of the surgical Apgar score in a veteran population undergoing general surgery

Melis, Marcovalerio and Pinna, Antonio <1963- > and Okochi, Shunpei and Masi, Antonio and Rosman, Alan Steven and Neihaus, Dena and Saunders, John K. and Newman, Elliot and Gouge, Thomas H. (2014) Validation of the surgical Apgar score in a veteran population undergoing general surgery. Journal of the American College of Surgeons, Vol. 218 (2), p. 218-225. ISSN 1072-7515. Article.

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DOI: 10.1016/j.jamcollsurg.2013.10.021

Abstract

Background: The Surgical Apgar Score (SAS, a 10-point score calculated using limited intraoperative data) can correlate with postoperative morbidity and mortality after general surgery. We evaluated reliability of SAS in a veteran population.
Study Design: We prospectively collected demographics, medical history, type of surgery, and postoperative outcomes for any veteran undergoing general surgery at our institution (2006-2011). We categorized patients in 4 SAS groups and compared differences in morbidity and mortality.
Results: Our study population included 2,125 patients (SAS ≤4: n = 29; SAS 5−6: n = 227; SAS 7−8: n = 797; SAS 9−10: n = 1,072). Low-SAS patients were likely to have significant preoperative comorbidities and to undergo major surgery, and had increased postoperative morbidity and 30-day mortality.
Conclusions: The SAS is easily calculated from 3 routinely available intraoperative measurements, correlates with fixed preoperative risk (acute conditions, pre-existing comorbidities, operative complexity), and effectively identifies veterans at high risk for postoperative complications.

Item Type:Article
ID Code:9829
Status:Published
Refereed:Yes
Uncontrolled Keywords:Surgical Apgar Score (SAS), veteran population, general surgery
Subjects:Area 06 - Scienze mediche > MED/30 Malattie apparato visivo
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
Publisher:Elsevier Science
ISSN:1072-7515
Copyright Holders:© 2014 by the American College of Surgeons
Deposited On:27 May 2014 10:30

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