Perioperative Risk Assessment in Surgery - An Analysis in 10395 Patients;Perioperative Risikoeinschätzung in der Chirurgie - Eine Analyse bei 10 395 Patienten

Zentralblatt fur Chirurgie

Volumn 128, Issue 11, 2003, Pages 963-969

  Stelzner, S ^a,b   Hellmich, G ^a   Koch, R ^a   Albert, W ^a   Ludwig, K ^a  

^a DRESDEN UNIVERSITY OF TECHNOLOGY   (Germany)

^b ACADEMIC TEACHING HOSPITAL DRESDEN FRIEDRICHSTADT   (Germany)

Author keywords

ASA classification; Mortality; Perioperative risk; Predictive model

Indexed keywords

ACCURACY; ADULT; AREA UNDER THE CURVE; ARTICLE; CALCULATION; CLASSIFICATION; CLINICAL OBSERVATION; EMERGENCY SURGERY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MALIGNANT NEOPLASTIC DISEASE; MULTIPLE REGRESSION; OPERATION DURATION; PERIOPERATIVE PERIOD; PROSPECTIVE STUDY; RISK ASSESSMENT; SURGICAL MORTALITY; SURGICAL RISK; SURGICAL TECHNIQUE;

ADOLESCENT; ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; CHILD; DATA INTERPRETATION, STATISTICAL; FEMALE; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; ODDS RATIO; PERITONEUM; RISK ASSESSMENT; RISK FACTORS; SURGICAL PROCEDURES, OPERATIVE; THORACIC SURGICAL PROCEDURES; TIME FACTORS;

EID: 0344552731     PISSN: 0044409X     EISSN: None     Source Type: Journal    
DOI: 10.1055/s-2003-44804     Document Type: Article

References (36)

1. Agha A, Bein T, Fröhlich D, Höfler S, Jauch KW. "Simplified Acute Physiology Score" (Saps II) zur Einschätzung der Erkrankungsschwere bei chirurgischen Intensivpatienten. Chirurg 2002; 73: 439-442
2. Clagett GP, Reisch JS. Prevention of venous thromboembolism in general surgical patients. Ann Surg 1988; 208: 227-240
3. Copeland GP, Jones D, Walters M. POSSUM: a scoring system for surgical audit. Br J Surg 1991; 78: 356-360
4. Daley J, Henderson WG, Khuri SF. Risk-adjusted surgical outcomes. Annu Rev Med 2001; 52: 275-287
5. deRitis G, Giovannini C, Picardo S, Pietropaoli P. Multivariate prediction of in-hospital mortality associated with surgical procedures. Minerva Anestesiol 1995; 61: 173-181
6. Dripps RD, Lamont A, Eckenhoff JE. The role of anesthesia in surgical mortality. JAMA 1961; 178: 261-266
7. Farrow SC, Fowkes FGR, Lunn JN, Robertson IB, Samuel P. Epidemiology in anaesthesia II: Factors affecting mortality in hospital. Br J Anaesth 1982; 54: 811-817
8. Füsgen I. Somatische Veränderungen im Alter. In: Füsgen I (Hrsg). Der ältere Patient. Problemorientierte Diagnostik und Therapie. Urban und Fischer, München Jena 2000; 3-7
9. Goldman L, Caldera DL, Nussbaum SR, Southwick FS, Krogstad D, Murray B, Burke DS, O'Malley TA, Goroll AH, Caplan CH, Nolan J, Carabello B, Slater EE. Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med 1977; 297: 845-850
10. Hall JC, Brooks B. Australian national diagnosis related groups and abdominal surgery. Aust N Z J Surg 1994; 64: 604-606
11. Hall JC, Hall JL. ASA status and age predict adverse events after abdominal surgery. J Qual Clin Practice 1996; 16: 103-108
12. Hanley JA, Lippman-Hand A. If nothing goes wrong, is everything alright? JAMA 1983; 259: 1743-1745
13. Jones HJS, deCossart L. Risk scoring in surgical patients. Br J Surg 1999; 86: 149-157
14. Khuri SF, Daley J, Henderson W, Hur K, Gibbs JO, Barbour G, Demakis J, Irvin G III, Stremple JF, Grover F, McDonald G, Passaro E Jr, Fabri PJ, Spencer J, Hammermeister K, Aust JB. Risk adjustment of the postoperative mortality rate for the comparative assessment of the quality of surgical care: Results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg 1997; 185: 315-327
15. Klotz HP, Candinas D, Platz A, Horvàth A, Dindo D, Schlumpf R, Largiadèr F. Preoperative risk assessment in elective general surgery. Br J Surg 1996; 83: 1788-1791
16. Knaus WA, Draper EA, Wagner DP, Zimmerman JE, Apache II: a severity of disease classification system. Crit Care Med 1985; 13: 818-829
17. Knaus WA, Rauss A, Alperovitch A, le Gall JR, Loirat P, Patois E, Marcus SE. Do objective estimates of chances for survival influence decisions to withhold or withdraw treatment? Med Decis Making 1990; 10: 163-171
18. Knaus WA, Wagner DP, Draper EA, Zimmerman JE, Bergner M, Bastos PG, Sirio CA, Murphy DJ, Lotring T, Damiano A, Harell FE Jr. The Apache III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. Chest 1991; 100: 1619-1636
19. Knaus WA, Zimmerman JE, Wagner DP, Draper EA, Lawrence DE. Apache - acute physiology and chronic health evaluation: a physiologically based classification system. Crit Care Med 1981; 9: 591-597
20. Lorenz W, Dick W, Junginger T, Ohmann C, Doenicke A, Rothmund M. Biomedizinische und klinimetrische Ansätze in der Ursachenforschung beim perioperativen Risiko: Erstellung einer deutschen ASA-Klassifikation. Langenbecks Arch Chir 1987; 372: 199-209
21. Lubin MF. Is age a risk factor for surgery? Med Clin North Am 1993; 77: 327-333
22. Lutz H. Präoperative Risikoeinschätzung nach objektiven Kriterien. Anasth Intensivther Notfallmed 1980; 15: 287-292
23. Lutz H, Klose R, Peter K. Die Problematik der präoperativen Risikoeinstufung. Anästhesiologische Informationen 1976; 17: 342-351
24. Marshall JC, Cook DJ, Christou NV, Bernard GR, Sprung CL, Sibbald WJ. Multiple organ dysfunction score: a reliable descriptor of a complex clinical outcome. Crit Care Med 1995; 23: 1638-1652
25. Marx GF, Mateo CV, Orkin LR. Computer analysis of post anesthetic deaths. Anesthesiology 1973; 39: 54-58
26. Menke H, John KD, Klein A, Lorenz W, Junginger T. Präoperative Risikoeinschätzung mit der ASA-Klassifikation. Chirurg 1992; 63: 1029-1034
27. Ohmann C. Preoperative prediction of peri- and postoperative complications: criteria for statistical evaluation of predictive systems. Theor Surg 1991; 6: 3-18
28. Prytherch DR, Whiteley MS, Higgins B, Weaver PC, Prout WG, Powell SJ. Possum and Portsmouth Possum for predicting mortality. Br J Surg 1998; 85: 1217-1220
29. Sagar PM, Hartley MN, MacFie J, Taylor BA, Copeland GP. Comparison of individual surgeon's performance. Dis Colon Rectum 1996; 39: 654-658
30. Sagar PM, Hartley MN, Mancey-Jones B, Sedman PC, May J, MacFie J. Comparative audit of colorectal resection with the POSSUM scoring system. Br J Surg 1994; 81: 1492-1494
31. Saklad M. Grading of patients for surgical procedures. Anesthesiology 1941; 2: 281-284
32. Statistisches Landesamt des Freistaates Sachsen. Abgekürzte Sterbetafel Sachsen 1995/97. (persönliche Kommunikation)
33. Sutton R, Bann S, Brooks M, Sarin S. The surgical risk scale as an improved tool for risk-adjusted analysis in comparative surgical audit. Br J Surg 2002; 89: 763-768
34. Tekkis PP, Kocher HM, Bentley AJE, Cullen PT, South LM, Trotter GA, Ellul JPM. Operative mortality rates among surgeons. Dis Colon Rectum 2000; 43: 1528-1534
35. Troidl H. Risikoanalyse in der Chirurgie. Chirurg 2000; 71: 771-783
36. Wolters U, Wolf T, Stützer H, Schröder T, Pichlmaier H. Risk factors, complications, and outcome in surgery: multivariate analysis. Eur J Surg 1997; 163: 563-568