Prognostic Value of P-POSSUM and Osteopenia for Predicting Mortality After Emergency Laparotomy in Geriatric PatientsVisa övriga samt affilieringar
2019 (Engelska)Ingår i: Bulletin of emergency and trauma, ISSN 2322-2522, Vol. 7, nr 3, s. 223-231Artikel i tidskrift (Refereegranskat) Published
Abstract [en]
Objective: To evaluate the Portsmouth-Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (P-POSSUM) in comparison with other risk factors for mortality including osteopenia as an indicator for frailty in geriatric patients subjected to emergency laparotomy.
Methods: All geriatric patients (≥65 years) undergoing emergency laparotomy at a single university hospital between 1/2015 and 12/2016 were included in this cohort study. Demographics and outcomes were retrospectively collected from medical records. Association between prognostic markers and 30-day mortality was assessed using Poisson and backward stepwise regression models. Prognostic value was assessed using receiver operating characteristic (ROC) curves.
Results: =0.004) while osteopenia was not. P-POSSUM had poor prognostic value for 30-day mortality with an area under the ROC curve (AUC) of 0.59. The prognostic value of P-POSSUM improved significantly when adjusting for patient covariates (AUC=0.83).
Conclusion: P-POSSUM and osteopenia alone hardly predict 30-day mortality in geriatric patients following emergency laparotomy. P-POSSUM adjusted for other patient covariates improves the prediction.
Ort, förlag, år, upplaga, sidor
Shiraz University of Medical Sciences , 2019. Vol. 7, nr 3, s. 223-231
Nyckelord [en]
Emergency Laparotomy, Emergency Surgery, Geriatric, Mortality
Nationell ämneskategori
Medicin och hälsovetenskap Kirurgi Geriatrik
Identifikatorer
URN: urn:nbn:se:oru:diva-79242DOI: 10.29252/beat-070303PubMedID: 31392220OAI: oai:DiVA.org:oru-79242DiVA, id: diva2:1386789
2020-01-202020-01-202024-03-06Bibliografiskt granskad