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Predictors of McGuckin et al for Outcomes After Unscheduled Surgery Performed on an Elderly Patient

Description

McGurkin et al identified predictors associated with outcome following unscheduled surgery performed on an elderly adult. The authros are from UCL/UCKH, Homerton University Hospital, University City College Hospital and the National Institute of Academic Anaesthesia in London.


Patient selection: adult > 65 years old undergoing unscheduled surgery

 

Parameters:

(1) CSHA Clinical Frailty Scale (CFS) of Rockwood et al, from 1 to 7

(2) ASA status

(3) E-POSSUM and P-POSSUM scores

(4) operative severity

(5) Surgical Outcome Risk Tool (SORT)

 

Predictors for 30-day postoperative mortality:

(1) Clinical Frailty Score >= 4

(2) P-POSSUM

 

Predictors of postoperative stay:

(1) ASA 4 or 5

(2) major surgery

 

Scores predictive of post-operative stay:

(1) Surgical Outcome Risk Tool (SORT)

(2) E-POSSUM


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