medical decision support medical decision support
Sign In

Score of Andres et al for Identifying a Patient at Risk for Complications Following an Elective Liver Resection

Description

Andres et al reported a score for predicting the risk of complications following an elective liver resection. This can help to identify a patient who may benefit from more aggressive management or an alternative therapy. The authors are from Geneva University Hospitals in Switzerland.


 

Patient selection: elective liver resection

 

Parameters:

(1) ASA classification

(2) number of hepatic segments resected

(3) diagnosis of resected liver lesion

 

Parameter

Finding

Points

ASA classificaton

1 or 2

0

 

3 to 4

1

number of hepatic segments resected

1 or 2

0

 

3 or more

1

diagnosis

benign

0

 

malignant

1

 

where:

• Although ASA 5 is included in scoring, none were included in the study and it is unlikely that surgery would be elective.

• 60% of patients were ASA 2 and 15% ASA 3. Either the case mix had a very favorable population, or there may be some leniency in ASA classification.

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 3

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

 

Mortality was 0.7%. A wide range of complications occurred including infection, pleural effusion, organ failure, etc.

 

Score

Complications

0

15-22%

1

32-33%

2

41-43%

3

58-65%

 


To read more or access our algorithms and calculators, please log in or register.

Specialty