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首页> 外文期刊>Scandinavian journal of plastic and reconstructive surgery and hand surgery >Orthopaedic POSSUM scoring system: an assessment of the risk of debridement in patients with pressure sores.
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Orthopaedic POSSUM scoring system: an assessment of the risk of debridement in patients with pressure sores.

机译:骨科POSSUM评分系统:评估褥疮患者清创的风险。

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摘要

We hypothesised that the implementation of a validated method of audit, the Physiological and Operative Severity Score for enUmeration of Mortality and morbidity (POSSUM), would be useful in the evaluation of the risks of debridement in bedridden patients with pressure ulcers. With the orthopaedic version of POSSUM (O-POSSUM), physiological data and an operative profile are scored to predict mortality for 30 days postoperatively. Fourteen cases were analysed retrospectively. The difference in predicted mortality was compared with those who died and those who survived. The mean (SD) predicted mortality among those who died was 47 (16)%, and among those who lived was 18 (14)%. Those who died were classified as a relatively high risk group, and the values differed significantly (p=0.01). O-POSSUM may be helpful in audit.
机译:我们假设实施一种经过验证的审核方法,即死亡率和发病率的生理和手术严重程度评分(POSSUM),对于评估卧床压疮患者的清创风险非常有用。对于POSSUM(O-POSSUM)的骨科版本,对生理数据和手术资料进行评分,以预测术后30天的死亡率。回顾性分析14例。将预测死亡率的差异与死亡人数和存活人数进行了比较。在死者中,平均(SD)预测死亡率为47(16)%,在活者中为18(14)%。死亡者被归为较高风险人群,其值差异显着(p = 0.01)。 O-POSSUM可能有助于审核。

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