Can the Surgical Apgar Score predict morbidity and mortality in general orthopaedic surgery?

Simple item page
dc.contributor.authorUrrutia, Julio
dc.contributor.authorValdes, Macarena
dc.contributor.authorZamora, Tomas
dc.contributor.authorCanessa, Valentina
dc.contributor.authorBriceno, Jorge
dc.date.accessioned2025-01-24T00:06:09Z
dc.date.available2025-01-24T00:06:09Z
dc.date.issued2012
dc.description.abstractPurpose The Surgical Apgar Score (SAS) is a simple tally based on intra-operative heart rate, blood pressure and blood loss; it predicts 30-day major postoperative complications and mortality in different surgical fields, but no validation has been performed in general orthopaedic surgery.
dc.description.abstractMethods A prospective assessment of the SAS in 723 consecutive patients undergoing major and intermediate orthopaedic procedures was performed in an 18-month period. The SAS was calculated immediately after surgery, and the occurrence of major complications or death was registered within a 30-day follow-up.
dc.description.abstractResults Thirty-seven patients had a parts per thousand yen1 complication (5.12 %). The complication rate did not augment as the score decreased (SAS 9-10 = 6.56 %; SAS 7-8 = 2.62 %; SAS 5-6 = 7.21 %; SAS a parts per thousand currency sign4 = 10.2 %), the relative risk did not augment as the score decreased and the likelihood ratio did not increase with decreasing SAS values, except in the subgroup of patients undergoing spine surgery. The C-statistic was 0.59 (95 % confidence interval 0.48-0.69), a weak discriminatory value. Using a threshold of 7 to define high-risk and low-risk patients, the SAS allowed risk stratification only for spine surgery.
dc.description.abstractConclusions The SAS does not predict 30-day major complications and death in patients undergoing general orthopaedic surgery, but it is useful in the subgroup of patients undergoing spine surgery.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s00264-012-1696-1
dc.identifier.issn0341-2695
dc.identifier.urihttps://doi.org/10.1007/s00264-012-1696-1
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/101856
dc.identifier.wosidWOS:000312129600025
dc.issue.numero12
dc.language.isoen
dc.pagina.final2576
dc.pagina.inicio2571
dc.revistaInternational orthopaedics
dc.rightsacceso restringido
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleCan the Surgical Apgar Score predict morbidity and mortality in general orthopaedic surgery?
dc.typeartículo
dc.volumen36
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
Files
Collections
Artículos de revistas