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- W2142168500 abstract "Purpose: The Apgar score for neonates is well established. Gawande et al (1) recently reported a validated Apgar score for surgery derived for intraoperative parameters (blood loss, lowest heart rate, lowest mean arterial pressure). They studied elective general and vascular surgical patients and demonstrated predictive capability in terms of major complications and death within 30 days. The aim of our study was to determine if the Apgar surgical score was valid and useful in an Australian hospital setting.Methods: Elective and emergency surgical procedures over a 31-day period were prospectively studied. The anaesthetic and surgical teams were not aware of the Apgar score. The postoperative course of each patient was reviewed. Primary outcome measures were death or major complications; secondary measures were ICU admission and inpatient length of stay.Results: 790 patients were studied and the Apgar score calculated. No correlation was found between Apgar score and complications or death within 30 days. Only 20 (2.5%) had a score of less than 4, and in this group there was 1 death and 6 patients with complications. There were no unplanned ICU admissions. Inpatient length of stay was not shown to be significantly longer in those with lower scores. The Apgar score did not correlate with ASA status. Patients undergoing Caesarean section tended to have poor Apgar scores but excellent outcomes.Conclusion: Using the surgical Apgar would not have altered the management of any patient in the study e.g., planning ICU admission etc. and therefore we are unable to recommend its introduction as a routine measure." @default.
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- W2142168500 date "2009-05-01" @default.
- W2142168500 modified "2023-09-25" @default.
- W2142168500 title "GS33P�IS AN APGAR SCORE FOR SURGICAL PATIENTS USEFUL?" @default.
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- W2142168500 doi "https://doi.org/10.1111/j.1445-2197.2009.04917_33.x" @default.
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