Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Konkret geht es um den Diabetes-Patienten mit kardiovaskulären Erkrankungen oder Risiken, die Herzinsuffizienz sowie die kardiovaskuläre Primär- und Sekundärprävention. Sind Sie hier schon auf dem neuesten Stand? Unsere Experten beleuchten, wo und warum das bisherige Procedere geändert werden soll und was in der Praxis sinnvoll ist. Holen Sie sich Ihr Update und 2 CME-Punkte beim MMW-Webinar am 24. April von 17.30 bis 19 Uhr. 
Erweiterte Suche
Anmelden
nach oben
Critical Care
Erschienen in: Critical Care 3/2013

01.06.2013 | Review

Clinical review: Can we predict which patients are at risk of complications following surgery?

verfasst von: Nirav Shah, Mark Hamilton

Erschienen in: Critical Care | Ausgabe 3/2013

Einloggen, um Zugang zu erhalten

Abstract

There are a vast number of operations carried out every year, with a small proportion of patients being at highest risk of mortality and morbidity. There has been considerable work to try and identify these high-risk patients. In this paper, we look in detail at the commonly used perioperative risk prediction models. Finally, we will be looking at the evolution and evidence for functional assessment and the National Surgical Quality Improvement Program (in the USA), both topical and exciting areas of perioperative prediction.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, Gawande AA: An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 2008, 372: 139-144. 10.1016/S0140-6736(08)60878-8CrossRefPubMed
2.
3.
Kable AK, Gibberd RW, Spigelman AD: Adverse events in surgical patients in Australia. Int J Qual Health Care 2002, 14: 269-276. 10.1093/intqhc/14.4.269CrossRefPubMed
4.
Gawande AA, Thomas EJ, Zinner MJ, Brennan TA: The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 1999, 126: 66-75. 10.1067/msy.1999.98664CrossRefPubMed
5.
Bennett-Guerrero E, Welsby I, Dunn TJ, Young LR, Wahl TA, Diers TL, Phillips-Bute BG, Newman MF, Mythen MG: The use of a postoperative morbidity survey to evaluate patients with prolonged hospitalization after routine, moderate-risk, elective surgery. Anesth Analg 1999, 89: 514-519.PubMed
6.
Grocott MPW, Browne JP, Van der Meulen J, Matejowsky C, Mutch M, Hamilton MA, Levett DZH, Emberton M, Haddad FS, Mythen MG: The Postoperative Morbidity Survey was validated and used to describe morbidity after major surgery. J Clin Epidemiol 2007, 60: 919-928. 10.1016/j.jclinepi.2006.12.003CrossRefPubMed
7.
Pearse RM, Harrison DA, James P, Watson D, Hinds C, Rhodes A, Grounds RM, Bennettt ED: Identification and characterisation of the high-risk surgical population in the United Kingdom. Crit Care 2006, 10: R81. 10.1186/cc4928PubMedCentralCrossRefPubMed
8.
9.
Anderson I, Eddleston J, Grocott M, Lees N, Lobo D, Loftus I, Markham N, Mitchell D, Pearse R, Peden C, Sayers R, Wigfull J: The Higher Risk General Surgical Patient: Towards Improved Care for a Forgotten Group. London: Royal College of Surgeons of England, Department of Health; 2011.
10.
Clavien P, Sanabria J, Strasberg S: Proposed classification of complication of surgery with examples of utility in cholecystectomy. Surgery 1992, 111: 518-526.PubMed
11.
12.
Verma R, Wee MYK, Hartle A, Alladi V, Rollin AM, Meakin G, Struthers R, Carlisle J, Johnston P, Ricett K, Hurley C: Pre-operative Assessment and Patient Preparation. London: Association of Anaesthetists of Great Britain and Ireland; 2010.
13.
National Institute for Clinical Excellence: Pre-operative Tests, the Use of Routine Pre-operative Tests for Elective Surgery. London: NICE; 2003.
14.
Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof EL, Fleischmann KE, Freeman WK, Froehlich JB, Kasper EK, Kersten JR, Riegel B, Robb JF, Smith SC Jr, Jacobs AK, Adams CD, Anderson JL, Antman EM, Buller CE, Creager MA, Ettinger SM, Faxon DP, Fuster V, Halperin JL, Hiratzka LF, Hunt SA, Lytle BW, Nishimura R, Ornato JP, Page RL, Riegel B, et al.: ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). J Am Coll Cardiol 2007, 50: e159-e241. 10.1016/j.jacc.2007.09.003CrossRefPubMed
15.
Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof EL, Fleischmann KE, Freeman WK, Froehlich JB, Kasper EK, Kersten JR, Riegel B, Robb JF, American Society of Echocardiography; American Society of Nuclear Cardiology; Heart Rhythm Society; Society of Cardiovascular Anesthesiologists; Society for Cardiovascular Angiography and Interventions; Society for Vascular Medicine; Society for Vascular Surge: 2009 ACCF/AHA focused update on perioperative beta blockade incorporated into the ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery. J Am Coll Cardiol 2009, 54: e13-e118. 10.1016/j.jacc.2009.07.010CrossRefPubMed
16.
Poldermans D, Bax JJ, Boersma E, De Hert S, Eeckhout E, Fowkes G, Gorenek B, Hennerici MG, Iung B, Kelm M, Kjeldsen KP, Kristensen SD, Lopez-Sendon J, Pelosi P, Philippe F, Pierard L, Ponikowski P, Schmid JP, Sellevold OF, Sicari R, Van den Berghe G, Vermassen : Guidelines for preoperative cardiac risk assessment and perioperative cardiac management in noncardiac surgery: the Task Force for Preoperative Cardiac Risk Assessment and Perioperative Cardiac Management in noncardiac Surgery of the European Society of Cardiology (ESC) and endorsed by the European Society of Anaesthesiology (ESA). Eur Heart J 2009, 30: 2769-2812.CrossRefPubMed
17.
Reilly DF, McNeely MJ, Doerner D, Greenberg DL, Staiger TO, Geist MJ, Vedovatti PA, Coffey JE, Mora MW, Johnson TR, Guray ED, Van Norman GA, Fihn SD: Self-reported exercise tolerance and the risk of serious perioperative complications. Arch Intern Med 1999, 159: 2185-2192. 10.1001/archinte.159.18.2185CrossRefPubMed
18.
Barnett S, Moonesinghe S: Clinical risk scores to guide peioperative management. Postgrad Med J 2011, 87: 535-541. 10.1136/pgmj.2010.107169CrossRefPubMed
19.
Rix T, Bates T: Pre-operative risk scores for the prediction of outcome in elderly people who require emergency surgery. World J Emerg Surg 2007, 2: 16. 10.1186/1749-7922-2-16PubMedCentralCrossRefPubMed
20.
Saklad M: Grading of patients for surgical procedures. Anesthesiology 1941, 2: 281-284. 10.1097/00000542-194105000-00004CrossRef
21.
Wolters U, Wolf T, Stutzer H, Schroder T: ASA classification and perioperative variables as predictors of postoperative out-come. Br J Anaesth 1996, 77: 217-222. 10.1093/bja/77.2.217CrossRefPubMed
22.
Wolters U, Wolf T, Stutzer H, Schroder T, Pichlmaier H: Risk factors, complications, and outcome in surgery: a multivariate analysis. Eur J Surg 1997, 163: 563-568.PubMed
23.
Akoh JA, Mathew AM, Chalmers JW, Finlayson A, Auld GD: Audit of major gastrointestinal surgery in patients aged 80 years or over. J R Coll Surg Edinb 1994, 39: 208-213.PubMed
24.
Charlson ME, Pompei P, Ales KL, MacKenzie CR: A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987, 40: 373-383. 10.1016/0021-9681(87)90171-8CrossRefPubMed
25.
Moonesinghe SR, Mythen MG, Grocott MP: High-risk surgery: epidemiology and outcomes. Anesth Analg 2011, 112: 891-901. 10.1213/ANE.0b013e3181e1655bCrossRefPubMed
26.
Lee TH, Marcantonio ER, Mangione CM, Thomas EJ, Polanczyk CA, Cook EF, Sugarbaker DJ, Donaldson MC, Poss R, Ho KK, Ludwig LE, Pedan A, Goldman L: Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 1999, 100: 1043-1049. 10.1161/01.CIR.100.10.1043CrossRefPubMed
27.
Knaus WA, Zimmerman JE, Wagner DP, Draper EA, Lawrence DE: APACHE-Acute Physiology and Chronic Health Evaluation: a physiologically based classification system. Crit Care Med 1981, 9: 591-597. 10.1097/00003246-198108000-00008CrossRefPubMed
28.
Knaus WA, Draper EA, Wagner DP, Zimmerman JE: APACHE II: a severity of disease classification system. Crit Care Med 1985, 13: 818-829. 10.1097/00003246-198510000-00009CrossRefPubMed
29.
Goffi L, Saba V, Ghiselli R, Necozione S, Mattei A, Carle F: Preoperative APACHE II and ASA scores in patients having major general surgical operations: prognostic value and potential clinical applications. Eur J Surg 1999, 165: 730-735. 10.1080/11024159950189483CrossRefPubMed
30.
Le Gall J-R, Lemeshow S, Saulnier F: A New Simplified Acute Physiology Score (SAPS II) based on a European/North American Multicenter Study. JAMA 1993, 270: 2957-2963. 10.1001/jama.1993.03510240069035CrossRefPubMed
31.
Copeland GP, Jones D, Walters M: POSSUM: a scoring system for surgical audit. Br J Surg 1991, 78: 355-360. 10.1002/bjs.1800780327CrossRefPubMed
32.
Prytherch DR, Whiteley MS, Higgins B, Weaver PC, Prout WG, Powell SJ: POSSUM and Portsmouth POSSUM for predicting mortality. Physiological and Operative Severity Score for the enUmeration of mortality and morbidity. Br J Surg 1998, 85: 1217-1220. 10.1046/j.1365-2168.1998.00840.xCrossRefPubMed
33.
Tekkis PP, Prytherch DR, Kocher HM, Senapati A, Poloniecki JD, Stamatakis JD, Windsor AC: Development of a dedicated risk-adjustment scoring system for colorectal surgery (colorectal POSSUM). Br J Surg 2004, 91: 1174-1182. 10.1002/bjs.4430CrossRefPubMed
34.
Bayram AS, Candan T, Gebitekin C: Preoperative maximal exercise oxygen consumption test predicts postoperative pulmonary morbidity following major lung resection. Respirology 2007, 12: 505-510. 10.1111/j.1440-1843.2007.01097.xCrossRefPubMed
35.
Bolliger CT, Jordan P, Soler M, Stulz P, Gradel E, Skarvan K, Elsasser S, Gonon M, Wyser C, Tamm M, et al.: Exercise capacity as a predictor of postoperative complications in lung resection candidates. Am J Respir Crit Care Med 1995, 151: 1472-1480. 10.1164/ajrccm.151.5.7735602CrossRefPubMed
36.
Older P, Hall A, Hader R: Cardiopulmonary exercise testing as a screening test for perioperative management of major surgery in the elderly. Chest 1999, 116: 355-362. 10.1378/chest.116.2.355CrossRefPubMed
37.
Carlisle J, Swart M: Mid-term survival after abdominal aortic aneurysm surgery predicted by cardiopulmonary exercise testing. Br J Surg 2007, 94: 966-969. 10.1002/bjs.5734CrossRefPubMed
38.
Epstein SK, Freeman RB, Khayat A, Unterborn JN, Pratt DS, Kaplan MM: Aerobic capacity is associated with 100-day outcome after hepatic transplantation. Liver Transpl 2004, 10: 418-424. 10.1002/lt.20088CrossRefPubMed
39.
Nagamatsu Y, Yamana H, Fujita H, Hiraki H, Matsuo T, Mitsuoka M, Hayashi A, Kakegawa T: The simultaneous evaluation of preoperative cardiopulmonary functions of oesophageal cancer patients in the analysis of expired gas with exercise testing. Nippon Kyobu Geka Gakkai Zasshi 1994, 42: 2037-2040.PubMed
40.
Smith TB, Stonell C, Purkayastha S, Paraskevas P: Cardiopulmonary exercise testing as a risk assessment method in non cardio-pulmonary surgery: a systematic review. Anaesthesia 2009, 64: 883-893. 10.1111/j.1365-2044.2009.05983.xCrossRefPubMed
41.
Young EL, Karthikesalingam A, Huddart S, Pearse RM, Hinchliffe RJ, Loftus IM, Thompson MM, Holt PJ: A systematic review of the role of cardiopulmonary exercise testing in vascular surgery. Eur J Vasc Endovasc Surg 2012, 44: 64-71. 10.1016/j.ejvs.2012.03.022CrossRefPubMed
42.
Khuri SF, Daley J, Henderson WG, Barbour G, Lowry P, Irvin G: The National Veterans Administration Surgical Risk Study: risk adjustment for the comparative assessment of the quality of surgical care. J Am Coll Surg 1995, 180: 519-531.PubMed
43.
Khuri SF, Daley J, Henderson WG, Hur K, Gibbs JO, Barbour G: Risk adjustment of the postoperative mortality rate for the comparative assessment of the quality of surgical care. J Am Coll Surg 1997, 185: 315-327.PubMed
44.
Daley J, Khuri SF, Henderson WG, Hur K, Gibbs JO, Barbour G: Risk adjustment of the postoperative morbidity rate for the comparative assessment of the quality of surgical care. J Am Coll Surg 1997, 185: 328-340.PubMed
45.
Khuri SF, Daley J, Henderson WG, Hur K, Hur K, Demakis J, Aust JB: The Department of Veterans Affairs' NSQIP. The first national, validated, outcome-based, risk-adjusted, and peer-controlled programme for the measurement and enhancement of the quality of surgical care. Ann Surg 1998, 228: 491-507. 10.1097/00000658-199810000-00006PubMedCentralCrossRefPubMed
46.
Khuri SF, Henderson WG, Daley J, Jonasson O, Jones RS, Campbell DA Jr: The Patient Safety in Surgery Study: background, study design, and patient populations. J Am Coll Surg 2007, 204: 1089-1102. 10.1016/j.jamcollsurg.2007.03.028CrossRefPubMed
47.
Henderson WG, Khuri SF, Mosca C, Fink AS, Hutler MM, Neumayer LA: Comparison of risk-adjusted 30-day postoperative mortality and morbidity in Department of Veterans Affairs hospitals and selected university medical centres: general surgical operations in men. J Am Coll Surg 2007, 204: 1103-1114. 10.1016/j.jamcollsurg.2007.02.068CrossRefPubMed
48.
Birkmeyer JD, Shahian DM, Dimick JB, Finlayson SR, Flum DR, Ko CY, Hall BL: Blueprint for a new American College of Surgeons National Surgical Quality Improvement Program. J Am Coll Surg 2008, 207: 777-782. 10.1016/j.jamcollsurg.2008.07.018CrossRefPubMed
49.
Pitt HA, Kilbane M, Strasberg SM, Pawlik TM, Dixon E, Zyromski NJ, Aloia TA, Henderson JM, Mulvihill SJ: ACS-NSQIP has the potential to create an HPBNSQIP option. HPB 2009, 11: 405-413. 10.1111/j.1477-2574.2009.00074.xPubMedCentralCrossRefPubMed
50.
Khuri SF: The NSQIP: a new frontier in surgery. Surgery 2005, 138: 837-843. 10.1016/j.surg.2005.08.016CrossRefPubMed
51.
Ozhathil DK, Li Y, Smith JK, Witkowski E, Coyne ER, Alavi K, Tseng JF, Shah SA: Colectomy performance improvement within NSQIP 2005-2008. J Surg Res 2011, 171: e9-e13. 10.1016/j.jss.2011.06.052CrossRefPubMed
52.
Cima RR, Lackore KA, Nehring SA, Cassivi SD, Donohue JH, Deschamps C, Vansuch M, Naessens JM: How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. Surgery 2011, 150: 943-949. 10.1016/j.surg.2011.06.020CrossRefPubMed
53.
Yu P, Chang DC, Osen HB, Talamini MA: NSQIP reveals significant incidence of death following discharge. J Surg Res 2011, 170: e217-e224. 10.1016/j.jss.2011.05.040CrossRefPubMed
54.
Lee LC, Reines HD, Sheridan MJ, Farmer BE, Martin J, Duan M: Apples and oranges: comparison of ACS-NSQIP observed outcomes with premier's quality manager-predicted outcomes. Am J Med Qual 2011, 26: 474-479. 10.1177/1062860611401652CrossRefPubMed
55.
Halm EA, Lee C, Chassin MR: Is volume related to outcome in health care? A systematic review and methodologic critique of the literature. Ann Intern Med 2002, 137: 511-520. 10.7326/0003-4819-137-6-200209170-00012CrossRefPubMed
56.
Bentrem DJ, Brennan MF: Outcomes in oncologic surgery: does volume make a difference? World J Surg 2005, 29: 1210-1216. 10.1007/s00268-005-7991-xCrossRefPubMed
57.
Bilimoria KY, Bentrem DJ, Talamonti MS, Stewart AK, Winchester DP, Ko CY: Risk-based selective referral for cancer surgery. Ann Surg 2010, 251: 708-716. 10.1097/SLA.0b013e3181c1bea2CrossRefPubMed
Metadaten
Titel
Clinical review: Can we predict which patients are at risk of complications following surgery?
verfasst von
Nirav Shah
Mark Hamilton
Publikationsdatum
01.06.2013
Verlag
BioMed Central
Erschienen in
Critical Care / Ausgabe 3/2013
Elektronische ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc11904

Weitere Artikel der Ausgabe 3/2013

Critical Care 3/2013 Zur Ausgabe

Research

Impact of arterial load on the agreement between pulse pressure analysis and esophageal Doppler

Commentary

Towards zero rate in healthcare-associated infections: one size shall not fit all...

Commentary

Is sodium chloride worth its salt?

Letter

Limitation of (1→3)-β-D-glucan monitoring in major elective surgery involving cardiopulmonary bypass

Book report

Review of The EAE Textbook of Echocardiography by Leda Galiuto et al.

Research

Assessing glomerular filtration rate (GFR) in critically ill patients with acute kidney injury - true GFR versus urinary creatinine clearance and estimating equations

Neu im Fachgebiet AINS

23.04.2024 | Appendizitis | Nachrichten

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 | Leitsymptom Rückenschmerzen | Nachrichten

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 | Operationsvorbereitung | Nachrichten

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

18.04.2024 | Wirbelsäulenmetastase | Nachrichten

Stereotaktische Radiatio schlägt konventionelle Bestrahlung
weitere anzeigen

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

hier abonnieren