Prognostic Score of Braga et al for Major Complications After Pancreaticoduodenectomy

Description

Braga et al reported a prognostic score predictive of major complications after pancreaticoduodenectomy. This can help to identify a patient who may benefit from more aggressive management. The authors are from Vita-Salute San Raffaele University in Milan.

Patient selection: pancreaticoduodenectomy ASA I or III

Outcome: major complication (Clavien-Dindo classification III to V)

Parameters:

(1) pancreatic texture

(2) diameter of the pancreatic duct in mm

(3) operative blood loss in mL

(4) ASA score, from I to III

Parameters	Findings	Points
pancreatic texture	hard	0
	soft	4
diameter of pancreatic duct	<= 3 mm	1
	> 3 mm	0
blood loss in mL	< 700 mL	0
	>= 700 mL	4
ASA score	I	0
	II	2
	III	6

total score =

= SUM(points for all 4 parameters)

Interpretation:

• minimum score: 0

• maximum score: 15

• The higher the score the greater the risk for major complications.

Total Score	Percent with Major Complications
<= 3	7%
4 to 7	13%
8 to 11	23%
>= 12	36%

Perforamcne:

• The area under the ROC curve is 0.71.

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Prognostic Score of Braga et al for Major Complications After Pancreaticoduodenectomy

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