The Association of Coloproctology of Great Britain and Ireland (ACPGI) developed a risk score for predicting mortality in patients undergoing resection of a colorectal cancer.
Outcome: 30 day mortality following primary resection of colorectal cancer
Parameters:
(1) age
(2) ASA classification AND extent of colon resection
(3) Duke cancer stage
(4) urgency of the operation
|
Parameter |
Finding |
Points |
|---|---|---|
|
age in years |
< 65 years |
0 |
|
|
65 to 74 years |
0.7 |
|
|
75 to 84 years |
1.1 |
|
|
85 to 94 years |
1.3 |
|
|
> 94 years |
2.6 |
|
ASA and resection |
ASA I and cancer resection |
0 |
|
|
ASA I and cancer not resected |
1.7 |
|
|
ASA II and cancer resected |
0.8 |
|
|
ASA II and cancer not resected |
1.8 |
|
|
ASA III and cancer resected |
1.6 |
|
|
ASA III and cancer not resected |
2.1 |
|
|
ASA IV or V and cancer resected |
2.5 |
|
|
ASA IV or V and cancer not resected |
2.4 |
|
cancer stage |
Duke's Stage A |
0 |
|
|
Duke's Stage B |
0 |
|
|
Duke's Stage C |
0.2 |
|
|
Duke's Stage D |
0.6 |
|
urgency of operation |
elective |
0 |
|
|
urgent |
0.8 |
|
|
emergent |
1.1 |
total score =
= SUM(points for all 4 parameters)
X =
= (total score) - 4.859
probability of death =
= 1 / (1 + EXP((-1) * X))
Purpose: To estimate the risk of 30-day mortality following primary resection of a colorectal cancer using the ACPGBI risk score.
Specialty: Hematology Oncology, Surgery, general, Gastroenterology
Objective: severity, prognosis, stage
ICD-10: C18,
