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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Functional Capacity as a Significant Independent Predictor of Postoperative Mortality for Octogenarian AS A-III Patients
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Functional Capacity as a Significant Independent Predictor of Postoperative Mortality for Octogenarian AS A-III Patients

机译：功能能力作为八岁的AS A-III患者术后死亡率的重要独立预测因子

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Background. The American Society of Anesthesiology's (ASA) 6-point physical status classification remains one of the most significant predictors of perioperative morbidity and mortality and is the most widely used risk stratification tool worldwide. Its utility is significantly limited for octogenarians, however, as the majority of these patients are classified as ASA-III. Thus, for patients aged 80 or older, we hypothesized that incorporating patients' functional status, defined by the ability to perform activities of daily living independently, would improve perioperative risk stratification.Methods. All data were extracted from the Veterans Affairs Surgical Quality Improvement Program, a perioperative prospectively maintained computerized database. ASA-III patients were reclassified into subgroups IIIA or IIIB, with IIIA representing functionally independent patients and IIIB representing partially or fully dependent patients. Functional status was self-reported during preoperative assessments. In this database, mortality data (primary outcome) was reliably available for all patients for the duration of the 96-month follow-up period, as were other perioperative patient data.
机译：背景。美国麻醉学会（ASA）的6点身体状况分类仍然是围手术期发病率和死亡率的最重要预测指标之一，并且是全世界使用最广泛的风险分层工具。然而，由于这些患者中的大多数被归类为ASA-III，因此它的用途对于八十岁以下的人明显受限。因此，对于80岁或80岁以上的患者，我们假设合并患者的功能状态（由独立执行日常活动的能力来定义）会改善围手术期的风险分层。所有数据均摘自退伍军人事务外科手术质量改善计划，这是围手术期前瞻性维护的计算机化数据库。 ASA-III患者被重新分类为IIIA或IIIB组，其中IIIA代表功能独立的患者，IIIB代表部分或完全依赖的患者。术前评估中自我报告功能状态。在该数据库中，可以可靠地获得所有患者在96个月随访期间的死亡率数据（主要结局），以及其他围手术期患者数据。

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