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• W2335382170 abstract "Objectives: To analyze the accuracy of different risk assessment models in predicting postoperative complications in an Enhanced Surgical Recovery Programme (ESRP). To determine the impact of each variable in the respective risk-assessment scores in predicting 30-day postoperative complications (Accordion Grades 1 to 6) after gynaecologic surgery in a tertiary cancer centre. Methods: Patients who underwent consecutive open gynecologic surgery in an ESRP from November 2014 to November 2015 were included in the analysis. We used descriptive statistics to summarise variables of interest for those patients who had surgery before and after the ESRP. Variables were selected for each model. We used the Wilcoxon rank sum test to compare these groups with respect to medians of continuous variables. We used Fisher’s exact test to compare these groups with respect to categorical variables. We used logistic regression methods to model the logit of the probability of any postoperative complication within 30 days as a function of patient group and other factors found to be differential between the patient groups. We started with a saturated model including all factors found on univariate analysis with p<0.25 and then used backward elimination until all remaining factors were significant with p<0.05. Results: We included 272 patients in the ESRP group and 74 patients in the pre-ESRP group. There were no differences in age, ASA status, BMI, preoperative albumin, Charlson Comorbidity Index, indication for surgery, and FIGO staging between the two groups. Operative time and surgical complexity were similar in both groups, while blood loss was higher in the pre-ESRP group (300 ml vs. 400 ml)(p=0.041). The probability of any postoperative surgical complication within 30 days of surgery was increased by 49% for each additional hour of surgery, and each unit increase in the Charlson Comorbidity Score lead to an increase of complications of 18%. Conclusion: Our Risk-Assessment Model identified surgical time and Charlson Comorbidity Index as the predictors of postoperative surgical complications in patients undergoing surgery under an ESRP for gynaecologic surgery. Disclosure of interest: None declared." @default.
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• W2335382170 date "2016-04-01" @default.
• W2335382170 modified "2023-10-12" @default.
• W2335382170 title "A comprehensive evaluation of different risk-assessment models to predict 30-day postoperative complications in gynaecologic patients undergoing surgery under an Enhanced Surgical Recovery Programme (ESRP)" @default.
• W2335382170 doi "https://doi.org/10.1016/j.clnesp.2016.02.058" @default.
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