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  1. Estimation of mortality and morbidity risk in vascular surgery using POSSUM and the Portsmouth predictor equation.

    Article - En anglais

    Background 

    The Physiological and Operative Severity Score for enUmeration of Mortality and morbidity (POSSUM) is a simple scoring system previously validated in general surgical patients which enables estimation of the risk of complications and death after operation.

    The Portsmouth predictor equation (P-POSSUM) is a modification that may result in more accurate prediction of death than POSSUM.

    The aim of this study was to test the validity of POSSUM and P-POSSUM in patients undergoing major arterial surgery in a specialist unit.

    Methods 

    Physiological and operative severity scores in 221 patients undergoing elective and emergency arterial surgery in a pure vascular practice under a single consultant were recorded prospectively.

    Observed morbidity and mortality rates were compared with the rates predicted by POSSUM and P-POSSUM using a linear method of analysis.

    Results 

    The POSSUM equation overestimated deaths with this analysis but the mortality rate estimated by P-POSSUM was not significantly different from the observed death rate.

    The risk of morbidity predicted by POSSUM was not significantly different from the observed complication rate.

    Conclusion 

    The POSSUM methodology combined with the P-POSSUM adjustment for death allows satisfactory prediction of mortality and morbidity rates in patients undergoing vascular surgery.

    Mots-clés Pascal : Chirurgie, Artère, Traitement, Mortalité, Morbidité, Pronostic, Echelle évaluation, Evaluation performance, Méthodologie, Risque, Complication, Postopératoire, Homme, Epidémiologie, Vaisseau sanguin pathologie, Artère pathologie, Appareil circulatoire pathologie

    Mots-clés Pascal anglais : Surgery, Artery, Treatment, Mortality, Morbidity, Prognosis, Evaluation scale, Performance evaluation, Methodology, Risk, Complication, Postoperative, Human, Epidemiology, Vascular disease, Arterial disease, Cardiovascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0241331

    Code Inist : 002B25F. Création : 16/11/1999.