Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.10/1153
Título: P-POSSUM as a predictor of colorectal surgical mortality in elderly patients
Autor: Gomes, A
Rocha, R
Marinho, R
Sousa, M
Carneiro, C
Pignatelli, N
Nunes, V
Palavras-chave: Colorectal surgery
Mortality
Aged
Severity of illness index
Data: 2013
Editora: European Society of Coloproctology
Citação: SCIENTIFIC AND ANNUAL MEETING OF THE EUROPEAN SOCIETY OF COLOPROCTOLOGY, 8, Belgrade, 25-27 September 2013
Resumo: The PPOSSUM score is considered an adequate predictor of surgical mortality in colorectal surgery. The proportion of elderly surgical patients is rising. They must be considered as a different population. Our aim was to evaluate the predictive value of P-POSSUM for colorectal surgical mortality in patients age 80 or more. Retrospective observational study. Patients with 80 years old or more who underwent colorectal surgery at our institution between 2008 and 2012 were included. Subgroup analysis was performed for malignant, urgent and elective surgery. Parametric tests were used. 202 patients were enrolled, 55% men, mean age 84,27±3,94 [80-99].Surgical mortality was 16,8%. The physiology score (PS) was 23,22±5,09; operative severity score (OS) was 13,54±4,11; predicted mortality (PM) was 8,00%±10,87. Age, PS and PM were higher among patients with surgical mortality (t=0,996 df=200 p<0,01; t=0,999 df=200 p<0,01; t=0,987 df=200 p<0,01). No differences were observed in OS. These results were also observed when subgroup analyses was done. Predicted/observed mortality ratio was 0,46 (0,58 for patients who underwent urgent surgery). P-POSSUM underestimates surgical mortality of colorectal surgery in patients 80 years or older. Higher PS was associated with surgical mortality but OS was not. This was independent of subgroup analysis.
Peer review: yes
URI: http://hdl.handle.net/10400.10/1153
Aparece nas colecções:CIR - Comunicações e Conferências

Ficheiros deste registo:
Ficheiro Descrição TamanhoFormato 
POSTER ESCP 2013.pdf180,22 kBAdobe PDFVer/Abrir


FacebookTwitterDeliciousLinkedInDiggGoogle BookmarksMySpace
Formato BibTex MendeleyEndnote Degois 

Todos os registos no repositório estão protegidos por leis de copyright, com todos os direitos reservados.