1. Surgical Apgar score (SAS) predicts perioperative morbidity, mortality, and length of stay in patients undergoing esophagectomy at a high-volume center
- Author
-
Andrew Morgan, Nathaniel R. Evans, Francesco Palazzo, Adam C. Berger, Ernest L. Rosato, Danica N. Giugliano, and Benjamin E. Leiby
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Esophageal Diseases ,Lower risk ,Cohort Studies ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Predictive Value of Tests ,030202 anesthesiology ,Health Status Indicators ,Humans ,Medicine ,Aged ,Aged, 80 and over ,business.industry ,Mortality rate ,Incidence (epidemiology) ,General Medicine ,Perioperative ,Length of Stay ,Middle Aged ,Surgery ,Esophagectomy ,Oncology ,030220 oncology & carcinogenesis ,Predictive value of tests ,Female ,Apgar score ,business ,Hospitals, High-Volume ,Cohort study - Abstract
Background Esophagectomy carries considerable morbidity. Many studies have evaluated factors to predict patients at risk. This study aimed to determine whether the surgical Apgar score (SAS) predicts complications and length of stay (LOS) for patients undergoing esophagectomy. Study Design We evaluated 212 patients undergoing esophagectomy. Postoperative complications were graded using the Clavien-Dindo scale and the SAS was determined. Association of SAS with incidence of complications was evaluated using the Cochran-Armitage trend test between grouped SAS scores (0-2, 3-4, 5-6, 7-8, 9-10) and each of the outcomes. Correlation of SAS with LOS was evaluated using competing risks proportional hazards regression. Results The average patient age was 63.5 years (range 31-86), and the average blood loss was 284 mL (range 50-4000). The median LOS was 10 days. There was a significant association between SAS and grade 2 or higher (P = 0.0002) and grade 3 or higher (P
- Published
- 2017
- Full Text
- View/download PDF