دورية أكاديمية
أعرض في EDS

Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator.

التفاصيل البيبلوغرافية
العنوان: Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator.
عنوان ترانسليتريتد: Açık ve laparoskopik apendektomi sonrası komplikasyonların 'American College of Surgeon National Surgical Quality Improvment Program' risk hesaplayıcıya göre değerlendirilmesi.
المؤلفون: Benk MS; Department of General Surgery, Polatli Duatepe Public Hospital, Ankara-Turkey., Olcucuoğlu E; Department of General Surgery, University of Health Sciences, Dışkapı Yıldırım Beyazit Training and Research Hospital, Ankara-Turkey., Kaya İO; Department of General Surgery, University of Health Sciences, Dışkapı Yıldırım Beyazit Training and Research Hospital, Ankara-Turkey.
المصدر: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES [Ulus Travma Acil Cerrahi Derg] 2022 Apr; Vol. 28 (4), pp. 418-427.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: KARE Yayıncılık Country of Publication: Turkey NLM ID: 101274231 Publication Model: Print Cited Medium: Internet ISSN: 1307-7945 (Electronic) Linking ISSN: 1306696X NLM ISO Abbreviation: Ulus Travma Acil Cerrahi Derg Subsets: MEDLINE
أسماء مطبوعة: Publication: Kadıköy, İstanbul : KARE Yayıncılık
Original Publication: [Istanbul] : Ulusal Travma ve Acil Cerrahi Derneği, [2003]-
مواضيع طبية MeSH: Laparoscopy*/adverse effects , Renal Insufficiency* , Sepsis* , Surgeons*, Adolescent ; Adult ; Aged ; Appendectomy/adverse effects ; Female ; Humans ; Male ; Middle Aged ; Quality Improvement ; Retrospective Studies ; Risk Assessment ; Surgical Wound Infection ; United States ; Young Adult
مستخلص: Background: This study aims to evaluate the predictive level of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) risk calculator for post-appendectomy complications.
Methods: A total of 292 patients who were hospitalized for general appendectomy were included in the study. The age range of the patients was 18-76 years (mean: 35.3±13.6 years). The mean body mass index was 25.8±4.6. Twenty data points were entered into the ACS-NSQIP surgical risk calculator (SRC), which yielded the 17 most common complications and the average LOHS. Compli-cations encountered in 30-day follow-up were categorized according to the complications predicted by SRC. The actual and observed complication rates and LOHS were compared RESULTS: Post-operative complications developed in 13.4% of the patients, surgical site infection in 11.3%, serious complications in 3.1%, and readmission in 2.1%. Serious complications included pneumonia, sepsis, cardiac complications, and renal failure. The mean LOHS was 1.91±1.64 days (range: 1-14 days). No thromboembolism or mortality was observed. When the comparison of compli-cations using SRC was made with the ROC curve, the predictive value of SRC was 84.2% for any complication, 86.7% for serious complication, 47.6% for surgical site infection, 95.9% for renal failure, 99.0% for resurgery, and 88.3% for sepsis.
Conclusion: Although it is rare to see complications after simple appendectomy, it is known that complication rates increase sig-nificantly in the elderly, the obese, and those with comorbidities. Tools such as SRC will be beneficial for patients with these risk factors.
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تواريخ الأحداث: Date Created: 20220429 Date Completed: 20220502 Latest Revision: 20231003
رمز التحديث: 20231003
مُعرف محوري في PubMed: PMC10443136
DOI: 10.14744/tjtes.2020.45808
PMID: 35485508
قاعدة البيانات: MEDLINE
الوصف
تدمد:1307-7945
DOI:10.14744/tjtes.2020.45808