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首页> 外文期刊>Circulation journal >Usefulness of POSSUM physiological score for the estimation of morbidity and mortality risk after elective abdominal aortic aneurysm repair in Japan.
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Usefulness of POSSUM physiological score for the estimation of morbidity and mortality risk after elective abdominal aortic aneurysm repair in Japan.

机译：POSSUM生理评分在日本选择性腹主动脉瘤修复后用于评估发病率和死亡风险的有用性。

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摘要

BACKGROUND: The Physiological and Operative Severity Score for enUmeration of Mortality and morbidity (POSSUM), which consists of a physiological score (PS) and an operative severity score, is useful in determining the risk profile for patients with abdominal aortic aneurysms in Western countries, but no information is available on the use of this method in Japan. METHODS AND RESULTS: A retrospective cohort study involving 225 patients was performed, and the prognostic factors for morbidity and in-hospital mortality including POSSUM were investigated. The morbidity rate was 26%. On univariate analysis age, renal disease, hemoglobin, albumin, operation time, blood loss and PS were significantly different. On multivariate analysis PS was significantly different. Using receiver operating characteristic (ROC) analysis, PS had an area under the curve (AUC) of 0.712 and the best cut-off point was 18. The in-hospital mortality rate was 2.2%. On univariate analysis renal disease, albumin and PS were significantly different, and on multivariate analysis PS was significantly different. On ROC analysis PS had an AUC of 0.921 and the best cut-off point was 22. CONCLUSIONS: PS was the only independent risk factor for morbidity and in-hospital mortality. Further studies may be required to develop a risk-scoring system.
机译：背景：死亡率和发病率的生理和手术严重程度评分（POSSUM）由生理评分（PS）和手术严重程度评分组成，可用于确定西方国家腹主动脉瘤患者的风险状况，但在日本尚无使用此方法的信息。方法与结果：对225例患者进行了回顾性队列研究，调查了包括POSSUM在内的发病率和院内死亡率的预后因素。发病率为26％。在单因素分析年龄上，肾脏疾病，血红蛋白，白蛋白，手术时间，失血量和PS显着不同。在多变量分析中，PS显着不同。使用接收器工作特征（ROC）分析，PS的曲线下面积（AUC）为0.712，最佳截止点为18。医院内死亡率为2.2％。在单变量分析中，肾脏疾病的白蛋白和PS显着不同，而在多变量分析中，PS的显着不同。在ROC分析中，PS的AUC为0.921，最佳临界点是22。结论：PS是发病率和院内死亡率的唯一独立危险因素。可能需要进一步研究以开发风险评分系统。

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