Risk-adjusted general surgical audit in octogenarians

ANZ Journal of Surgery

Volumn 78, Issue 11, 2008, Pages 990-994

  Nichols, Kirstin G ^a,c   Prytherch, David R ^b   Fancourt, Micheal F ^a   Gilkison, William T C ^a   Kyle, Stephen M ^a   Mosquera, Damien A ^a  

^a TARANAKI BASE HOSPITAL   (New Zealand)

^b UNIVERSITY OF PORTSMOUTH   (United Kingdom)

^c WAIKATO DISTRICT HEALTH BOARD   (New Zealand)

Author keywords

Aged 80 and over; Audit; Logistic model; Mortality; Surgery

Indexed keywords

AGED; AGED HOSPITAL PATIENT; ARTICLE; COMORBIDITY; CONTROLLED STUDY; ELECTIVE SURGERY; EMERGENCY SURGERY; FEMALE; GERIATRIC CARE; GERIATRIC SURGERY; HIGH RISK POPULATION; HUMAN; LAPAROTOMY; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; POSTOPERATIVE COMPLICATION; RISK FACTOR; SCORING SYSTEM; SURGICAL TECHNIQUE; TREATMENT OUTCOME;

AGE FACTORS; AGED, 80 AND OVER; FEMALE; GREAT BRITAIN; HOSPITAL MORTALITY; HUMANS; MALE; MEDICAL AUDIT; MORBIDITY; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; SURGICAL PROCEDURES, OPERATIVE; SURVIVAL RATE;

EID: 54349106231     PISSN: 14451433     EISSN: 14452197     Source Type: Journal    
DOI: 10.1111/j.1445-2197.2008.04718.x     Document Type: Article

References (20)

1. Dunstan K, Thomson N. Demographic Aspects of New Zealand's Aging Population. Statistics New Zealand, Ministry of Social Development Cited Mar 2006 Available from URL : www.stats.govt.nz/products-and-services/papers/ demographic-aspects-nz-ageing-population.html
2. Watters DAK, Green AJ, Van Rij A. Guidelines for surgical audit in Australia and New Zealand. ANZ J. Surg. 2006 76 : 78 83.
3. Neary WD, Heather BP, Earnshaw JJ. The physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM). Br. J. Surg. 2003 90 : 157 165.
4. Copeland GP, Jones D, Walters M. POSSUM: a scoring system for surgical audit. Br. J. Surg. 1991 78 : 355 60.
5. Whitely MS, Prytherch DR, Higgins B, Weaver PC, Prout WG. An evaluation of the POSSUM surgical scoring system. Br. J. Surg. 1996 83 : 812 15.
6. Wijesinghe LD, Mahood T, Scott DJA, Berridge DC, Kent PJ, Kester RC. Comparison of POSSUM and Portsmouth predictor equation for predicting death following vascular surgery. Br. J. Surg. 1998 85 : 209 12.
7. Prytherch DR, Whitely MS, Higgins B, Weaver PC, Prout WG, Powell SJ. POSSUM and Portsmouth POSSUM for predicting mortality. Br. J. Surg. 1998 85 : 1217 20.
8. 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 8.
9. Bann SD, Sarin S. Comparative audit: the trouble with POSSUM. J. R. Soc. Med. 2001 94 : 632 4.
10. Prytherch DR, Sirl JS, Weaver PC, Schmidt P, Higgins B, Sutton GL. Towards a national clinical minimum data set for general surgery. Br. J. Surg. 2003 90 : 1300 305.
11. Brooks MJ, Sutton R, Sarin S. Comparison of surgical risk score, POSSUM and p-POSSUM in higher risk surgical patients. Br. J. Surg. 2005 92 : 1288 92.
12. Hartley MN, Sagar PM. The Surgeon's 'gut feeling' as a predictor of post-operative outcome. Ann. R. Coll. Surg. Engl. 1994 76 (Suppl 277 8.
13. Prytherch DR, Briggs JS, Weaver PC, Schmidt P, Smith GB. Measuring clinical performance using routinely collected data. Med. Inform. Internet Med. 2005 30 : 151 6.
14. Jones SM, Collins CD. Caseload or workload? Scoring complexity of operative procedures as a means of analysing workload. Br. Med. J. 1990 301 : 324 5.
15. Walsh TH, Audit outcome of major surgery in the elderly. Br. J. Surg. 1996 83 : 92 7.
16. Isbister WH. Colorectal Surgery in the elderly: an audit of surgery in Octogenarians. Aust. N. Z. J. Surg. 1997 67 : 557 61.
17. Abbas S, Booth M. Major abdominal surgery in octogenarians. NZ Med. J. 2003 116 : 1172. Available from URL : www.nzma.org.nz/journal/116-1172/402/
18. Krysa J, Sandison A. Emergency admissions of surgical patients aged 80 and over: audit of outcome. Ann. R. Coll. Surg. Engl. 2005 88 : 323 4.
19. Gollop SJ, Fancourt MW, Gilkison WTC, Kyle SM, Mosquera DA. Prospective audit of colorectal resections in a peripheral public hospital. ANZ J. Surg. 2006 76 : 817 20.
20. Rørbæk-Madsen M, Dupont G, Kristensen K, Holm T, Sørensen J, Dahger H. General surgery in patients aged 80 years and older. Br. J. Surg. 1992 79 : 1216 18.