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Risk Assessment of Mortality Following Intraoperative Cardiac Arrest Using POSSUM and P-POSSUM in Adults Undergoing Non-Cardiac Surgery

DC Field Value Language
dc.contributor.author구본녀-
dc.contributor.author길혜금-
dc.contributor.author김신형-
dc.contributor.author김혜진-
dc.date.accessioned2016-02-04T11:39:32Z-
dc.date.available2016-02-04T11:39:32Z-
dc.date.issued2015-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140914-
dc.description.abstractPURPOSE: The Physiological and Operative Severity Score for enUmeration of Mortality and morbidity (POSSUM) and its Portsmouth modification (P-POSSUM) are comprehensive assessment methods for evaluating patient and surgical factors widely used to predict 30-day mortality rates. In this retrospective study, we evaluated the usefulness of POSSUM and P-POSSUM in predicting 30-day mortality after intraoperative cardiac arrests in adult patients undergoing non-cardiac surgery. MATERIALS AND METHODS: Among 190486 patients who underwent anesthesia, 51 experienced intraoperative cardiac arrest as defined in our study protocol. Predicted mortality rates were calculated using POSSUM and P-POSSUM equations and were compared with actual outcomes using exponential and linear analyses. In addition, a receiver operating characteristic curve analysis was undertaken, and area-under-the-curve (AUC) values with confidence intervals (CIs) were calculated for POSSUM and P-POSSUM. RESULTS: Among the 51 patients with intraoperative cardiac arrest, 32 (62.7%) died within 30 days postoperatively. The overall predicted 30-day mortality rates using POSSUM and P-POSSUM were 65.5% and 57.5%, respectively. The observed-to-predicted (O:E) ratio for the POSSUM 30-day mortality was 1.07, with no significant difference between the observed and predicted values (χ²=4.794; p=0.779). P-POSSUM predicted mortality equally well, with an O:E ratio of 1.10 (χ²=8.905; p=0.350). AUC values (95% CI) were 0.771 (0.634-0.908) and 0.785 (0.651-0.918) for POSSUM and P-POSSUM, respectively. CONCLUSION: Both POSSUM and P-POSSUM performed well to predict overall 30-day mortality following intraoperative cardiac arrest in adults undergoing non-cardiac surgery at a university teaching hospital in Korea.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHFemale-
dc.subject.MESHHeart Arrest/complications*-
dc.subject.MESHHeart Arrest/mortality-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHIntraoperative Complications/mortality*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMorbidity-
dc.subject.MESHPostoperative Period-
dc.subject.MESHROC Curve-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Assessment/methods*-
dc.subject.MESHSeverity of Illness Index*-
dc.subject.MESHSurgical Procedures, Operative/mortality*-
dc.titleRisk Assessment of Mortality Following Intraoperative Cardiac Arrest Using POSSUM and P-POSSUM in Adults Undergoing Non-Cardiac Surgery-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorShin Hyung Kim-
dc.contributor.googleauthorHae Keum Kil-
dc.contributor.googleauthorHye Jin Kim-
dc.contributor.googleauthorBon-Nyeo Koo-
dc.identifier.doi10.3349/ymj.2015.56.5.1401-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00193-
dc.contributor.localIdA00283-
dc.contributor.localIdA00676-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid26256987-
dc.subject.keywordCardiac arrest-
dc.subject.keywordmortality-
dc.subject.keywordsurgery-
dc.contributor.alternativeNameKu, Bon Nyo-
dc.contributor.alternativeNameKil, Hae Keum-
dc.contributor.alternativeNameKim, Shin Hyung-
dc.contributor.affiliatedAuthorKu, Bon Nyo-
dc.contributor.affiliatedAuthorKil, Hae Keum-
dc.contributor.affiliatedAuthorKim, Shin Hyung-
dc.rights.accessRightsfree-
dc.citation.volume56-
dc.citation.number5-
dc.citation.startPage1401-
dc.citation.endPage1407-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.56(5) : 1401-1407, 2015-
dc.identifier.rimsid30391-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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