Servicio de Cirugía General, Clínica de Patología Quirúrgica Aguda, Hospital General de México "Dr. Eduardo Liceaga", Ciudad de México, México.
Cir Cir. 2022;90(2):229-235. doi: 10.24875/CIRU.20001191.
American College of Surgeons (ACS) developed the ACS NSQIP surgical risk calculator that predicts the results of elective and emergency surgical procedures. This tool has been useful improving the morbidity and mortality in hospitals in the United States and Canada.
To evaluate the usefulness of the ACS NSQIP risk calculator for predicting postoperative complications in Mexican population.
Prospective, observational, analytical study. Patients undergoing abdominal surgery were recorded, 21 preoperative variables were captured and entered into the calculator. They were followed up to 30 days postoperatively, identifying 14 types of postoperative complications.
109 patients were registered. A comparison was made between the calculated and observed complications, obtaining a good correlation in the complications of cardiac arrest, surgical site infection, reoperation, sepsis and mortality (p < 0.05).
ACS NSQIP risk calculator is useful in the Mexican population, since the score obtained predicts most postoperative complications including mortality. The use of this tool offers an opportunity to improve decision-making in the care of the surgical patient.
美国外科医师学院（ACS）开发了 ACS NSQIP 手术风险计算器，用于预测择期和急诊手术的结果。该工具在美国和加拿大的医院提高发病率和死亡率方面发挥了重要作用。
评估 ACS NSQIP 风险计算器在预测墨西哥人群术后并发症方面的有用性。
前瞻性、观察性、分析性研究。记录接受腹部手术的患者，记录 21 项术前变量并输入计算器。对患者进行 30 天的术后随访，确定 14 种类型的术后并发症。
共登记了 109 名患者。对计算出的并发症和观察到的并发症进行了比较，在心脏骤停、手术部位感染、再次手术、败血症和死亡率方面的并发症具有良好的相关性（p<0.05）。
ACS NSQIP 风险计算器在墨西哥人群中是有用的，因为获得的评分预测了大多数术后并发症，包括死亡率。使用该工具为改善外科患者护理的决策提供了机会。
