Application of Modified POSSUM Scoring System in Patients Undergoing Thoracoscopic Surgery

  • Hao Zhang Guangzhou Red Cross Hospital
  • Zhiwei Liu The Hospital of Guangdong University of Technology
Keywords: Thoracoscopic Surgery, Modified POSSUM

Abstract

Objective: To investigate the predictive value of a physiology and surgical severity-based score (POSSUM score) modified according to the characteristics of thoracic surgery for complications and mortality in patients undergoing thoracoscopic surgery. Method: To investigate the value of the modified POSSUM scoring system in predicting the complication and mortality rate of patients undergoing thoracoscopic surgery. The clinical data of 104 patients who underwent thoracic surgery in the Thoracic Surgery Department of Guangzhou Red Cross Hospital between May 2018 and May 2020 were retrospectively analyzed. The modified POSSUM score was used for preoperative patients to predict the number of postoperative complications and deaths, and compared with the actual number of complications and deaths. Result: The number of postoperative complications predicted by the improved POSSUM scoring system was 36, and the actual number of complications was 42. The difference was not statistically significant (P>0.05); The predicted number of postoperative deaths was 8, and the actual number of deaths was 1. The difference was statistically significant (P < 0.05). Conclusion: The modified POSSUM scoring system can be used to predict complications after thoracoscopic surgery but may overpredict postoperative mortality.

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Published
2022-11-04
Section
Original Research Article