Prospective validation of the Urgent Surgery Elderly Mortality risk score (USEM)
| Autor: | Javier Herrera Cabezón, Pablo Sánchez Acedo, Arkaitz Galbete Jiménez, Francisco Guillén-Grima, Inés Eguaras Córdoba |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Risk Assessment 03 medical and health sciences 0302 clinical medicine Postoperative Complications Risk Factors medicine Risk of mortality Humans 030212 general & internal medicine Hospital Mortality Prospective Studies Prospective cohort study Geriatric Assessment Aged Aged 80 and over Framingham Risk Score Receiver operating characteristic business.industry General Medicine Survival Rate Spain Surgical Procedures Operative Emergency medicine 030211 gastroenterology & hepatology Surgery Female Emergencies business Validation cohort Abdominal surgery Follow-Up Studies |
| Zdroj: | American journal of surgery. 220(4) |
| ISSN: | 1879-1883 |
| Popis: | We aimed to test the predictive ability and to compare the predictive ability of the USEM to SRS, SORT and ASA in a prospective sample.A Prospective cohort of65-year-old patients undergoing urgent abdominal surgery in a Hospital. Models calibration and discrimination were evaluated using the receiver operating characteristics curves and the Hosmer-Lemeshow test.A total of 500 patients with a median age of 78 years were included. The AUROC in the validation cohort was 0.824. The USEM overestimated mortality (Test Hosmer-Lemeshow p 0.001), after recalibration the USEM provided an accurate prediction of postoperative mortality.After the recalibration, the USEM had good discriminant power to estimate the risk of mortality in elderly patients after urgent abdominal surgery. |
| Databáze: | OpenAIRE |
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