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- W2359520829 abstract "【Objective】 To evaluate the significance of American Society of Anesthesiologists(ASA) Physical Status Grading,Surgical Risk Score(SRS),and Physiological and Operative Severity Score for the enumeration of Mortality(POSSUM) scoring system in prediction of the post-operative complication and the hospital mortality in the elderly patients undergoing emergency operations.【Methods】 Clinical data of 252 patients over 60 years-old underwent emergency operations during January 2009 to December 2010 were analyzed retrospectively.【Results】 The observed morbidity and mortality were 115(45.60%) and 7(2.80%).As ASA grade and SRS score rising,post-operation complication rates were increased(P =0.001,P =0.004).While POSSUM predicted 143(56.70%) post-operative complications(P =0.448) and 36(14.40%) post-operative deaths,which was over-predicted(P 0.001).P-POSSUM predicted 12(4.90%) deaths,and SRS predicted 16(6.30%),which were both able to predict mortality(P =0.001,P =0.004).【Conclusion】 ASA grading,SRS and POSSUM score appeared to be useful tools for surgical risk audit of elderly patients undergoing emergency operations.ASA grading is easy to use,but there is no quantitative formula of risk assessment according to ASA grading.SRS,which is formulated,includes both of patient's underlying conditions and surgical trauma,and provides quantitative risk estimation.POSSUM scoring is more comprehensive,but needs complicated information collection and calculation.Preoperative risk assessment by POSSUM scoring is less reliable,because surgical and pathological data are needed,which are unavailable before surgery." @default.
- W2359520829 created "2016-06-24" @default.
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- W2359520829 date "2012-01-01" @default.
- W2359520829 modified "2023-09-23" @default.
- W2359520829 title "Risk audit of elderly patients aged over 60 undergoing emergency operations" @default.
- W2359520829 hasPublicationYear "2012" @default.
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