CAPCT is an acronym for the score components.
Patient selection: status post pancreaticoduodenectomy
Parameters:
(1) nature of the tumor (C)
(2) post-operative serum albumin concentration in g/L (A)
(3) pancreatic fistula (P)
(4) post-operative cough (C)
(5) peri-operative blood transfusion (T)
|
Parameter
|
Finding
|
Points
|
|
nature of the tumor
|
benign
|
0
|
|
|
malignant
|
2
|
|
serum albumin
|
>= 30 g/L
|
0
|
|
|
< 30 g/L
|
2
|
|
pancreatic fistula
|
no
|
0
|
|
|
yes
|
2
|
|
post-operative cough
|
no
|
0
|
|
|
yes
|
1
|
|
blood transfusion
|
no
|
0
|
|
|
yes
|
1
|
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 8
• The higher the score the greater the risk of a surgical site infection.
• A score >= 5 is associated with a high risk for surgical site infection.
• The score could be modified to have an intermediate risk category. The presence of a fistula and hypoalbuminemia (total score 3) would seem at some risk for an infection.
Performance:
• The area under the ROC curve was 0.95 in the derivation and 0.77 in the test cohorts.
