Negro G, Iannuzzi C, Terracciano C A, Rossi M, Gallo C
II Facoltà di Medicina e Chirurgia, Università degli Studi di Napoli Federico II.
Ann Ital Chir. 1992 Mar-Apr;63(2):123-6.
1182 patients were prospectively studied in order to evaluate the surgical risk factors. Stepwise regression logistic procedure was employed for statistical analysis. Postoperative complications included death, cardiac, respiratory, hepatic and renal failure, wound infection and sepsis. Various preoperative conditions were associated with postoperative complications but some of them, as malnutrition or operations prolonged over two hours, occurred more frequently. Age did not appear as a major risk factor. The determination of surgical risk is a major problem in general surgical practice and many attempts have been realized in order to predict postoperative outcome. Clinical judgment is still nowadays fundamental but predictive scores based on statistical analysis have proved to be valid and useful tools. The authors underline the importance of surgical risk prediction in therapeutic programming, especially in the aged and in cancer patient. The surgical or non surgical option and the type of operation to be performed result from a careful evaluation of operative risk and expectancy and quality of life.
为评估手术风险因素，对1182例患者进行了前瞻性研究。采用逐步回归逻辑程序进行统计分析。术后并发症包括死亡、心脏、呼吸、肝和肾衰竭、伤口感染及败血症。各种术前情况与术后并发症相关，但其中一些情况，如营养不良或手术时间超过两小时，发生频率更高。年龄似乎不是主要风险因素。手术风险的判定是普通外科实践中的一个主要问题，为预测术后结果已进行了许多尝试。如今临床判断仍然至关重要，但基于统计分析的预测评分已被证明是有效且有用的工具。作者强调手术风险预测在治疗规划中的重要性，尤其是在老年患者和癌症患者中。手术或非手术选择以及要进行的手术类型是通过对手术风险、预期以及生活质量的仔细评估得出的。
