American Society of Anesthesiologists Score: still useful after 60 years? Results of the EuSOS Study

Revista Brasileira de terapia intensiva
R MorenoEuropean Surgical Outcomes Study (EuSOS) Group of the European Society of Intensive Care Medicine and European Society of An

Abstract

The European Surgical Outcomes Study described mortality following in-patient surgery. Several factors were identified that were able to predict poor outcomes in a multivariate analysis. These included age, procedure urgency, severity and type and the American Association of Anaesthesia score. This study describes in greater detail the relationship between the American Association of Anaesthesia score and postoperative mortality. Patients in this 7-day cohort study were enrolled in April 2011. Consecutive patients aged 16 years and older undergoing inpatient non-cardiac surgery with a recorded American Association of Anaesthesia score in 498 hospitals across 28 European nations were included and followed up for a maximum of 60 days. The primary endpoint was in-hospital mortality. Decision tree analysis with the CHAID (SPSS) system was used to delineate nodes associated with mortality. The study enrolled 46,539 patients. Due to missing values, 873 patients were excluded, resulting in the analysis of 45,666 patients. Increasing American Association of Anaesthesia scores were associated with increased admission rates to intensive care and higher mortality rates. Despite a progressive relationship with mortality, discrimination was...Continue Reading

Citations

Apr 21, 2018·British Dental Journal·N J RansfordH Singh
Oct 20, 2018·Journal of Perioperative Practice·Pedro GodinhoElisabete Valente
Aug 12, 2017·JBI Database of Systematic Reviews and Implementation Reports·Mary Ryals, Michelle Palokas
Feb 20, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Malik Ali Hassan SajidUsman Ul Haq
May 9, 2021·Acta chirurgica Belgica·Iulian BuzincuIoana Grigoraș

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SPSS
EuSOS

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