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Model of Balzan et al for 60-Day Mortality After Hepatectomy

Description

Balzan et al identified risk factors for mortality following hepatic resection, These findings can help to identify a patient who may benefit from more aggressive management. The authors are from Beaujon Hospital and the University of Paris in France.


 

Patient selection: hepatic resection

 

Outcome: mortality in the 60 days after surgery

 

Parametes:

(1) age in years

(2) hepatic fibrosis of patient’s liver as stage (F0 to F4)

(3) 50-50 criteria of Balzan et al met on day 5

 

Parameter

Finding

Odds Ratio

Age

<= 65 years

1

 

> 65 years

4.8

hepatic fibrosis

F0, F1 or F2

1

 

F3 or F4

4.3

50-50 criteria met

no

1

 

yes

215.6

 

cumulative product of odds ratios =

= PRODUCT (3 parameters)

 

Interpretation:

• minimum cumulative odds ratio: 1

• maximum cumulative odds ratio: 4,450

• The higher the cumulative odds ratios the greater the risk of postoperative mortality.

 


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