Tiret L, Hatton F, Desmonts J M
Rev Epidemiol Sante Publique. 1984;32(6):370-5.
Anaesthetic risk has been studied until now only in terms of mortality rates, and by single factor analysis. A multifactorial index of anaesthetic risk, taking into account all major complications related to anaesthesia that occur during--or within 24 hours of--surgery is proposed. Data were collected in a prospective survey among a representative sample of anaesthesias. The logistic model included a sample of 232 complications and a control group of 1 642 anaesthesias with no complications. Eight factors related to the patient's condition, and to the kind of surgery performed, were considered. Only six were found to have prognostic value, and--among them--the "previous complications" factor stood out. There was a good concordance between predicted and observed risk. The index may be used for a preoperative estimate of anaesthetic risk.
迄今为止，麻醉风险仅依据死亡率并通过单因素分析进行研究。本文提出了一个多因素麻醉风险指数，该指数考虑了手术期间或术后24小时内与麻醉相关的所有主要并发症。数据收集于一项针对具有代表性的麻醉样本的前瞻性调查。逻辑模型纳入了232例并发症样本以及1642例无并发症的麻醉对照组。考虑了与患者病情及所施行手术类型相关的8个因素。结果仅发现6个因素具有预后价值，其中“既往并发症”因素最为突出。预测风险与观察到的风险之间具有良好的一致性。该指数可用于术前麻醉风险评估。
