Risk Score of Ragulin-Coyne et al for Perioperative Mortality After Pancreatectomy

Description

Ragulin-Coyne et al reported a score for predicting perioperative mortality after pancreatectomy. This can help to identify a patient who may benefit from more aggressive management. The authors are from the University of Massachusetts and Beth Israel Deaconess Medical Center.

Patient selection: pancreatectomy

Parameters:

(1) sex

(2) age in years

(3) Charlson score

(4) diagnosis

(5) pancreatectomy type

(6) hospital volume for pancreatectomy

Parameter	Finding	Points
sex	female	0
	male	1
age	< 60 years	0
	60 to 79 years	3
	>= 80 years	7
Charlson score	0	0
	1	1
	2	3
	>= 3	5
diagnosis	carcinoma	4
	benign disease	0
	metastatic disease	5
	pancreatitis	6
	cancer NOS	2
pancreatectomy type	proximal	3
	distal	0
	not specified	5
hospital volume	<= 8 per year	6
	9 to 32 per year	4
	> 32 per year	0

score =

= SUM(points for all 6 parameters)

Interpretation:

ª minimum score: 0

• maximum score: 30

• The higher the score the greater the risk of mortality.

percent mortality =

= (0.0030479 * ((score)^3)) - (0.037425 * ((score)^2)) + (0.27228 * (score)) + 0.35655

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Risk Score of Ragulin-Coyne et al for Perioperative Mortality After Pancreatectomy

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