Dhir et al developed a nomogram for predicting perioperative mortality following the resection of a gastric malignancy. This can help to identify a patient who may benefit from more aggressive management or an alternative treatment. The authors are from the University of Nebraska.
Patient selection: age >= 18 year with malignant gastric tumor
Parameters:
(1) age in years
(2) gender
(3) congestive heart failure (CHF)
(4) cardiac arrhythmia
(5) renal failure
(6) “other” neurologic disorders (other than paralysis)
(7) coagulopathy
(8) COPD
(9) fluid and/or electrolyte disorder
(10) procedure type
(11) elective admission
Parameter
Finding
Points
age in years
18 to 54
0
55 to 70
39
> 70
80
gender
female
0
male
19
congestive heart failure
no
0
yes
39
cardiac arrhythmias
no
0
yes
32
renal failure
no
0
yes
100
other neurologic disorder
no
0
yes
96
coagulopathy
no
0
yes
90
COPD
no
0
yes
13
fluid and/or electrolyte disorder
no
0
yes
34
procedure type
partial
0
total
32
elective admission
yes
0
no (nonelective)
28
total score =
= SUM(points for all 11 parameters)
Interpretation:
• minimum score: 0
• maximum score: 563
• The higher the score the greater the perioperative mortality.
