Risk Score of Foster et al for Pulmonary Complications After Hepatectomy

Description

Foster et al reported a score for predicting the risk of pulmonary complications after a hepatectomy. This can help to identify a patient who may benefit from more aggressive management. The authors are from Virginia Commonwealth University and the University of Virginia.

Patient selection: hepatectomy

Outcome: 30-day risk of unplanned reintubation, postoperative pneumonia, failure to liberate from mechanical ventilation within 48 hours of being intubated

Parameters:

(1) age in years

(2) sex

(3) serum albumin prior to surgery in g/dL

(4) ASA class

(5) history of severe COPD

(6) smoking status

(7) functional dependency

(8) total operation time in minutes

(9) preoperative sepsis

(10) hypertension requiring medication

Parameter	Finding	Points
age	< 60 years	0
	60 to 69 years	21
	70 to 79 years	44
	>= 80 years	78
sex	female	0
	male	23
serum albumin	< 3.5 g/dL	50
	>= 3.5 g/dL	0
ASA class	I or II	0
	III, IV or V	53
history of severe COPD	no	0
	yes	59
smoking status	current or within past year	43
	stopped > 1 year	0
	never	0
functional dependency	none	0
	partial or total	82
operation time	< 156 minutes	0
	156 to 220 minutes	10
	221 to 305 minutes	59
	>= 306	114
preoperative sepsis	no	0
	yes	73
hypertension requiring medications	no	0
	yes	25

total score =

= SUM(points for all 10 parameters)

Interpretation:

• minimum score: 0

• maximum score: 600

• The higher the score the greater the risk of postoperative pulmonary complications.

Score	Pulmonary Complications
< 117	1.9%
117 to 161	4.4-4.9%
162 to 228	8.1-8.8%
> 228	16.9-17.2%

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Risk Score of Foster et al for Pulmonary Complications After Hepatectomy

Description

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