scholarly journals Can the surgical Apgar score predict morbidity and mortality in general surgery?

2019 ◽  
Vol 6 (5) ◽  
pp. 1481
Author(s):  
Sajan Sehgal ◽  
Nagaraj Ravishankar ◽  
Divakar Sullery Raghupathi ◽  
Nalini Kotekar
Keyword(s):  
Mortality Rate ◽  
Surgical Procedures ◽  
General Surgery ◽  
Apgar Score ◽  
Morbidity And Mortality ◽  
Age Group ◽  
Major Complications ◽  
Operative Complications ◽  
Over 40 Years ◽  
Surgical Apgar Score

Background: The objective of the study was to evaluate the effectiveness of surgical Apgar score (SAS) in predicting morbidity and 30 day mortality in general surgical procedures and also to compare the predictability of the score in elective and emergency surgeries for outcome thereafter.Methods: 120 patients undergoing general surgical procedures in JSS Hospital, Mysuru from November 2016 to April 2018 were included in the study. Necessary data was collected. Surgical Apgar score was calculated for each patient and analysis done.Results: 75% of the patients included in the study were in the age group of over 40 years. Around 23% of the patients belong to age group>60 years. 18.25% of patients in the age group >60 years had a low Apgar score of <4. Whereas surgical Apgar score 9-10 was highest in the age group <40 years. Diabetes, hypertension, smoking were significantly associated with post-operative complications. 74.25% of the surgeries involved in the study were elective in nature. Amongst the 35 patients with an Apgar score of <4, major complications occurred in 33% and a 30-day mortality rate of 23% was observed. Morbidity was higher in emergency surgeries as compared to elective surgical procedures.Conclusions: Surgical Apgar score is a simple and useful method of predicting the morbidity and the 30 day mortality of patients undergoing general surgical procedures. It is more sensitive in predicting the outcome in emergency cases as compared to the elective cases.

scholarly journals Efficacy of the surgical Apgar score in predicting post-operative morbidity and mortality in patients undergoing laparotomy

2019 ◽  
Vol 6 (8) ◽  
pp. 2791
Author(s):  
Vandhana Rajgopal ◽  
Shrikant V. Kulkarni
Keyword(s):  
Relative Risk ◽  
Apgar Score ◽  
Pelvic Abscess ◽  
Morbidity And Mortality ◽  
Major Surgery ◽  
Operative Morbidity ◽  
Major Complications ◽  
Estimated Blood Loss ◽  
Complications And Mortality ◽  
Surgical Apgar Score

Background: A surgical score that predicts the risk of developing complications and mortality will help surgeons to be alert and take appropriate pro-active steps. The objective of this study was to evaluate the efficacy of the Surgical Apgar Score in predicting post-operative morbidity and mortality in patients undergoing major laparotomy surgeries.Methods: 100 patients undergoing major surgery were enrolled. 45 of these were emergency surgeries for peptic ulcer obstructions, bowel obstructions, pelvic abscess, mesenteric infarction and pancreatic necrosis. 55 cases were elective surgeries for cancers of the stomach, colon and rectum, pancreas, liver and ovaries. The Surgical Apgar Score (SAS) was calculated intra-operatively based on estimated blood loss, lowest mean arterial pressure and lowest heart rate. Post-operative complications and mortality were recorded.Results: Of the 23% of patients with a low SAS (< 4), major complications were noted in 41%, and 30-day mortality was seen in 26%. On the other hand, of patients with a high SAS of (9-10), only 11% suffered 30-day morbidities, and 4% had 30-day mortality. Patients with a SAS of < 2 had a relative risk of 13.6 for development of complications, and a relative risk of 239 for 30-day mortality.Conclusions: The surgical Apgar scoring system helps predict post-operative morbidity and mortality. A lower surgical Apgar score is associated with a higher chance of developing morbidity or mortality. This score allows surgeons to identify patients at highest risk of major complications or death. By enabling earlier identification of potential problems it affords the opportunity to provide increased surveillance for patients at higher risk. 

Validation of the Surgical Apgar Score in a Veteran Population Undergoing General Surgery

2014 ◽  
Vol 218 (2) ◽  
pp. 218-225 ◽  
Author(s):  
Marcovalerio Melis ◽  
Antonio Pinna ◽  
Shunpei Okochi ◽  
Antonio Masi ◽  
Alan S. Rosman ◽  
...  
Keyword(s):  
General Surgery ◽  
Apgar Score ◽  
Surgical Apgar Score

scholarly journals 206P Predictability of major complications after gastrectomy for gastric cancer using new surgical Apgar score

2015 ◽  
Vol 26 ◽  
pp. ix42
Author(s):  
M. Takeuchi ◽  
K. Ishii ◽  
H. Seki ◽  
N. Yasui ◽  
M. Sakata ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Apgar Score ◽  
Major Complications ◽  
Surgical Apgar Score

scholarly journals Combining ALT/AST Values with Surgical APGAR Score Improves Prediction of Major Complications after Hepatectomy

2021 ◽  
Vol 04 (04) ◽  
Author(s):  
Mitsiev I ◽  
Rubio K ◽  
Ranvir VP ◽  
Yu D ◽  
Palanisamy AP ◽  
...  
Keyword(s):  
Apgar Score ◽  
Major Complications ◽  
Surgical Apgar Score

scholarly journals Evaluation of surgical Apgar score in predicting post-laparotomy complications

2020 ◽  
Vol 7 (9) ◽  
pp. 2970
Author(s):  
Nimish J. Shah ◽  
Ram Singh Choudhary ◽  
Shish Ram Jangir ◽  
Divyang Patel
Keyword(s):  
Heart Rate ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Apgar Score ◽  
Analytical Study ◽  
Intensive Monitoring ◽  
Operative Complications ◽  
Patients At Risk ◽  
Surgical Apgar Score ◽  
Post Operative Complications

Background: Surgical Apgar score is a simple, objective and economical ten point post-operative prognostic scoring system based on three readily recorded intra operative variables. Aim is to evaluate the applicability and accuracy of the surgical Apgar score in predicting post-operative complications and objectives are to identify patients at risk of developing post-operative complications based on intra-operative data, to study the incidence of post-operative complications and morbidity and mortality in patients undergoing elective and emergency laparotomy.Methods: This was a prospective analytical study carried out at SSG Hospital from November 2018 to October 2019 and achieved sample size was 160 patients. Surgical Apgar score was calculated at the end of the operation from these three parameters: heart rate, mean arterial pressure and expected blood loss.Results: Out of 160 patients, 77 patients were in group 0-5 and complications occurred in 45 patients (58.4%), 54 patients in group 6-7 in which 18 patients (33.3%) suffered a complication and 29 patients in 8-10 surgical Apgar score, rate of complications was 17.3% in category 8-10 Apgar score.Conclusions: Complications are more in low Apgar score patients compared to high Apgar score and in emergency cases compared to elective surgeries, would require more intensive monitoring in the postoperative period.

Post-operative morbidity and mortality in pancreatic surgery. The role of surgical Apgar score

Pancreatology ◽  
2013 ◽  
Vol 13 (2) ◽  
pp. 175-179 ◽  
Author(s):  
Marco La Torre ◽  
Giovanni Ramacciato ◽  
Giuseppe Nigri ◽  
Genoveffa Balducci ◽  
Marco Cavallini ◽  
...  
Keyword(s):  
Apgar Score ◽  
Pancreatic Surgery ◽  
Morbidity And Mortality ◽  
Operative Morbidity ◽  
Surgical Apgar Score

Tu1576 Surgical Apgar Score Does Not Predict Morbidity and Mortality for Patients Undergoing Pancreaticoduodenectomy for Pancreatic Adenocarcinoma

2013 ◽  
Vol 144 (5) ◽  
pp. S-1130
Author(s):  
Paul Toomey ◽  
Sharona B. Ross ◽  
Charles Tkach ◽  
Nicholas J. Sarabalis ◽  
Kenneth Luberice ◽  
...  
Keyword(s):  
Pancreatic Adenocarcinoma ◽  
Apgar Score ◽  
Morbidity And Mortality ◽  
Surgical Apgar Score

scholarly journals Morbidity and Mortality of Traumatic Brain Injury in Hospitalized Patients in Brazil Between 2010 and 2020: An Ecological Study

2021 ◽  
Author(s):  
Vitória Bittencourt de Carvalho ◽  
Kauan Alves Sousa Madruga
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mortality Rate ◽  
Ecological Study ◽  
Traumatic Injury ◽  
Mortality Rates ◽  
Hospitalization Rate ◽  
Morbidity And Mortality ◽  
Age Group ◽  
Unified Health System

Background: Traumatic Brain Injury (TBI) is defined as any traumatic injury causing an anatomical lesion or functional impairment of the scalp, skull, meninges, brain or its vessels. Hospitalization of this patient, depending on the severity, can result in irreversible sequelae or death. Objective: To report the morbidity and mortality rates of patients suffering from TBI hospitalized in Brazilian hospitals between 2010 and 2020. Methods: Descriptive ecological study of the data collected at the Informatics Department of the Unified Health System (DATASUS). Results: There were 1,143,187 admissions due to TBI. There was a predominance of males with 871,999 (76.28%) cases and the age group between 20 and 29 years old 199,857 (17.48%). Brown patients were the ones with the highest hospitalization rate: 370,639 (32.42%). The mortality rate in the period was 9.52/100 hospitalizations, with the Southeast region occupying the first place (10.44 per 100 hospitalizations). In total, 108,853 deaths were recorded, of which 50,013 occurred in the Southeast, the region with the highest rate. Although the number of deaths was higher in people between 20 and 29 years old (16,687), the age group with the highest mortality rate was over 80 years old (19.84 per 100 hospitalizations). Conclusion: In the last 10 years, TBI has caused 1,143,187 hospitalizations in Brazil, with a predominance of males and the age group between 20 and 29 years. Brown patients had the highest rate of hospitalization. The region with the highest mortality was the Southeast and the smallest was the South.

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