Gotohda N, Iwagaki H, Itano S, Horiki S, Fujiwara T, Saito S, Hizuta A, Isozaki H, Takakura N, Terada N, Tanaka N
Division of Surgery, Terada General Hospital, Mie, Japan.
Acta Med Okayama. 1998 Dec;52(6):325-9. doi: 10.18926/AMO/31304.
POSSUM, a Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity, is a scoring system which assesses perioperative surgical risks (Copeland GP et al.: Br J Surg, 1991, Vol 78, 356-360). The POSSUM scoring system consists of two categories of assessment to assess the risk of surgery. A 12-factor (age, cardiac status, pulse rate, systolic blood pressure, respiratory status, Glasgow Coma Score, serum concentration of urea, potassium and sodium, hemoglobin concentration, white cell count and findings on electrocardiography) and 4-grade physiological score (PS) were developed. This was combined with a 6-factor (type of surgical procedure, number of procedures, blood loss, peritoneal soiling, presence of malignancy and mode of surgery) and 4-grade operative severity score (OSS). The present paper attempts to validate it retrospectively. Postoperative hospitalization period and duration of antibiotics administration were both significantly correlated with OSS, but not with PS. These results suggest that the POSSUM scoring system is useful for predicting the postoperative clinical course.
POSSUM（手术死亡率和发病率生理及手术严重程度评分）是一种评估围手术期手术风险的评分系统（科普兰·G·P等人：《英国外科杂志》，1991年，第78卷，356 - 360页）。POSSUM评分系统由两类评估组成，用于评估手术风险。开发了一个包含12个因素（年龄、心脏状况、脉搏率、收缩压、呼吸状况、格拉斯哥昏迷评分、尿素、钾和钠的血清浓度、血红蛋白浓度、白细胞计数以及心电图检查结果）的4级生理评分（PS）。这与一个包含6个因素（手术类型、手术数量、失血量、腹腔污染、恶性肿瘤的存在以及手术方式）的4级手术严重程度评分（OSS）相结合。本文试图对其进行回顾性验证。术后住院时间和抗生素使用时间均与OSS显著相关，但与PS无关。这些结果表明，POSSUM评分系统对于预测术后临床过程是有用的。
