评估POSSUM在预测胰十二指肠切除术后患者术后发病率中的应用。

Evaluation of POSSUM in predicting post-operative morbidity in patients undergoing pancreaticoduodenectomy.

作者信息

Zhang Y, Fu L, Zhang Z-D, Li Z-J, Liu X-B, Hu W-M, Mai G, Yan L-I, Zeng Y, Tian B-L

机构信息

Department of Hepatobiliopancreatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

出版信息

J Int Med Res. 2009 Nov-Dec;37(6):1859-67. doi: 10.1177/147323000903700622.

DOI:10.1177/147323000903700622

PMID:20146884

Abstract

The Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM) is a predictive scoring system for post-operative morbidity. The present study assessed the value of POSSUM in predicting post-operative morbidity following pancreaticoduodenectomy (PD). POSSUM scores were prospectively calculated for 265 consecutive cases of PD performed between 2005 and 2007. Expected morbidity was estimated based on POSSUM scores and was compared with observed morbidity. Patients were also stratified into one of four groups based on their individual POSSUM scores and subsequent risk of morbidity. Mean expected morbidity was 43.81% (116 cases) and mean observed morbidity was 39.62% (105 cases) (no statistically significant difference). It is concluded that the POSSUM scoring system has high value for predicting the risk of morbidity in PD patients.

摘要

用于死亡率和发病率计数的生理与手术严重程度评分（POSSUM）是一种预测术后发病率的评分系统。本研究评估了POSSUM在预测胰十二指肠切除术（PD）后发病率方面的价值。对2005年至2007年间连续进行的265例PD病例前瞻性地计算了POSSUM评分。基于POSSUM评分估计预期发病率，并与观察到的发病率进行比较。患者还根据其个体POSSUM评分和随后的发病风险被分为四组之一。平均预期发病率为43.81%（116例），平均观察到的发病率为39.62%（105例）（无统计学显著差异）。得出结论，POSSUM评分系统在预测PD患者发病风险方面具有很高价值。