Kuo et al developed models for predicting death in moribund patients undergoing general surgery. These can help to advise family members on the risks faced by the patients. The authors are from the University of Pennsylvania.
Patient selection: moribund general surgical being operated on during the first 24 hours after admission >= 20 years of age
Types of surgery: chest wall/thoracotomy, vascular, abdominopelvic, skin/soft tissue
Outcome: death
Parameters:
(1) functional status
(2) ventilator dependent
(3) body mass index (BMI)
(4) type of surgery
|
Parameter |
Findings |
Points |
|
functional status |
fully dependent |
2 |
|
|
partially or fully independent |
0 |
|
ventilator dependent |
no |
0 |
|
|
yes |
2 |
|
BMI |
underweight |
2 |
|
|
normal |
2 |
|
|
overweight |
0 |
|
|
obese |
0 |
|
type of surgery |
vascular |
3 |
|
|
other |
0 |
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• The higher the score the greater the risk of mortality.
|
Score |
Mortality |
|
0 |
20-26% |
|
2 |
37-41% |
|
3 or 4 |
55-63% |
|
6 to 9 |
70% |
Specialty: Anesthesiology
ICD-10: ,
