Application of Modified POSSUM Scoring System in Patients Undergoing Thoracoscopic Surgery
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.
References
[2] Yang LW, George B, He HT, POSSUM scoring systemEstimation of POSSUM scoring system in lung surgery [J]. China Journal of Modern Medicine, 2011, 21(5): 684-686, 689.
[3] Ye M, Li YX, Yu FL, Zhang JP. Comparison of POSSUM, P-POSSUM and Thoracoscore in forecast of the postoperative mortality in thoracic surgery patient[J]. Chinese Journal of Thoracic and Cardiovascular Surgery, 2016,32(2) :99-103.
[4] Ma Z, Li DS, Abduani T, et al. Estimation of Operation Risk in Lung Cancer Patients Undergoing Surgery Using POSSUM[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2012, 19(01): 31-35.
[5] Zhu L. Common pulmonary complications and management in perioperative period [J]. Chinese Journal of Practical Surgery, 2009, 29(12): 1064-1066+1081.
[6] Hu XJ, Ren GF. Correlation factors of postoperative complications in 52 patients with non-small cell lung cancer [J]. Journal of Clinical Pulmonary Medicine, 2012, 17(08): 1465-1467.
[7] Scott S, Lund JN, Gold S, et al. An evaluation of POSSUM and P-POSSUM scoring in predicting post-operative mortality in a level 1 critical care setting[J]. BMC Anesthesiol. 2014;14:104.
[8] Bagnall NM, Pring ET, Malietzis G, et al. Perioperative risk prediction in the era of enhanced recovery: a comparison of POSSUM, ACPGBI, and E-PASS scoring systems in major surgical procedures of the colorectal surgeon. Int J Colorectal Dis. 2018; 33(11): 1627–1634.
Copyright (c) 2022 Hao Zhang
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors submitting to USP journals agree to publish their manuscript under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0) where authors agree to allow third parties to share their work (copy, distribute, transmit) and to adapt it, under the condition that the authors are given credit, and that in the event of reuse or distribution, the terms of this license are made clear
Authors retain copyright of their work, with first publication rights (online and print) granted to Universe Scientific Publishing or the owner of the journal in question.