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ID 31304
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Author
Gotohda, Naoto
Iwagaki, Hiromi
Itano, Satoshi
Horiki, Sadayuki
Fujiwara, Toshiya
Hizuta, Akio
Isozaki, Hiroshi
Takakura, Norihisa
Terada, Norihiko
Tanaka, Noriaki
Abstract

POSSUM, a Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity, is a scoring system which assesses perioperative surgical risks (Copeland GP et al.: Br J Surg, 1991, Vol 78, 356-360). The POSSUM scoring system consists of two categories of assessment to assess the risk of surgery. A 12-factor (age, cardiac status, pulse rate, systolic blood pressure, respiratory status, Glasgow Coma Score, serum concentration of urea, potassium and sodium, hemoglobin concentration, white cell count and findings on electrocardiography) and 4-grade physiological score (PS) were developed. This was combined with a 6-factor (type of surgical procedure, number of procedures, blood loss, peritoneal soiling, presence of malignancy and mode of surgery) and 4-grade operative severity score (OSS). The present paper attempts to validate it retrospectively. Postoperative hospitalization period and duration of antibiotics administration were both significantly correlated with OSS, but not with PS. These results suggest that the POSSUM scoring system is useful for predicting the postoperative clinical course.

Keywords
surgical risk
Physiological and Operative Severity Source for the enUmeration of Mortality and morbidity
Amo Type
Article
Published Date
1998-12
Publication Title
Acta Medica Okayama
Volume
volume52
Issue
issue6
Publisher
Okayama University Medical School
Start Page
325
End Page
329
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT