Predictability of Surgical Apgar Score for postoperative outcomes in hip fractures: A prospective observational study

Objective: To assess the utility and validation of the Surgical Apgar Score (SAS) in predicting postoperative complications of hip fractures. Methods: This prospective observational study included patients who received operations for hip fractures from 1st March 2017 to 30th June 2018 at the Departm...

Full description

Bibliographic Details
Main Authors: Farhan Haroon, Sajid Younus, Asif Peracha, Nouman Memon, Naveed Memon
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Acute Disease
Subjects:
Online Access:http://www.jadweb.org/article.asp?issn=2221-6189;year=2021;volume=10;issue=1;spage=8;epage=11;aulast=Haroon
_version_ 1818954658384707584
author Farhan Haroon
Sajid Younus
Asif Peracha
Nouman Memon
Naveed Memon
author_facet Farhan Haroon
Sajid Younus
Asif Peracha
Nouman Memon
Naveed Memon
author_sort Farhan Haroon
collection DOAJ
description Objective: To assess the utility and validation of the Surgical Apgar Score (SAS) in predicting postoperative complications of hip fractures. Methods: This prospective observational study included patients who received operations for hip fractures from 1st March 2017 to 30th June 2018 at the Department of Orthopedic Surgery, Liaquat National Hospital and Medical College. Patients were followed at the outpatient department, and complications and mortality were recorded through phone calls. The predictability of SAS for postoperative complications was assessed. Results: SAS≤4 was found as a significant predictor for postoperative pulmonary (P=0.008) and cardiac complications (P=0.042) as well as blood transfusion required to optimize postoperative hemoglobin (P=0.03) in the patients with hip fractures. Conclusions: SAS provides reliable feedback information about patients' postoperative risk during the surgery. Hip fracture patients with scores≤4 should be monitored for major complications both during the hospital admission and after the discharge.
first_indexed 2024-12-20T10:25:40Z
format Article
id doaj.art-0a27218b430e413e806f7052ad9f4044
institution Directory Open Access Journal
issn 2221-6189
2589-5516
language English
last_indexed 2024-12-20T10:25:40Z
publishDate 2021-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Acute Disease
spelling doaj.art-0a27218b430e413e806f7052ad9f40442022-12-21T19:43:49ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892589-55162021-01-0110181110.4103/2221-6189.307387Predictability of Surgical Apgar Score for postoperative outcomes in hip fractures: A prospective observational studyFarhan HaroonSajid YounusAsif PerachaNouman MemonNaveed MemonObjective: To assess the utility and validation of the Surgical Apgar Score (SAS) in predicting postoperative complications of hip fractures. Methods: This prospective observational study included patients who received operations for hip fractures from 1st March 2017 to 30th June 2018 at the Department of Orthopedic Surgery, Liaquat National Hospital and Medical College. Patients were followed at the outpatient department, and complications and mortality were recorded through phone calls. The predictability of SAS for postoperative complications was assessed. Results: SAS≤4 was found as a significant predictor for postoperative pulmonary (P=0.008) and cardiac complications (P=0.042) as well as blood transfusion required to optimize postoperative hemoglobin (P=0.03) in the patients with hip fractures. Conclusions: SAS provides reliable feedback information about patients' postoperative risk during the surgery. Hip fracture patients with scores≤4 should be monitored for major complications both during the hospital admission and after the discharge.http://www.jadweb.org/article.asp?issn=2221-6189;year=2021;volume=10;issue=1;spage=8;epage=11;aulast=Haroonhip fractures; surgical apgar score; postoperative outcomes
spellingShingle Farhan Haroon
Sajid Younus
Asif Peracha
Nouman Memon
Naveed Memon
Predictability of Surgical Apgar Score for postoperative outcomes in hip fractures: A prospective observational study
Journal of Acute Disease
hip fractures; surgical apgar score; postoperative outcomes
title Predictability of Surgical Apgar Score for postoperative outcomes in hip fractures: A prospective observational study
title_full Predictability of Surgical Apgar Score for postoperative outcomes in hip fractures: A prospective observational study
title_fullStr Predictability of Surgical Apgar Score for postoperative outcomes in hip fractures: A prospective observational study
title_full_unstemmed Predictability of Surgical Apgar Score for postoperative outcomes in hip fractures: A prospective observational study
title_short Predictability of Surgical Apgar Score for postoperative outcomes in hip fractures: A prospective observational study
title_sort predictability of surgical apgar score for postoperative outcomes in hip fractures a prospective observational study
topic hip fractures; surgical apgar score; postoperative outcomes
url http://www.jadweb.org/article.asp?issn=2221-6189;year=2021;volume=10;issue=1;spage=8;epage=11;aulast=Haroon
work_keys_str_mv AT farhanharoon predictabilityofsurgicalapgarscoreforpostoperativeoutcomesinhipfracturesaprospectiveobservationalstudy
AT sajidyounus predictabilityofsurgicalapgarscoreforpostoperativeoutcomesinhipfracturesaprospectiveobservationalstudy
AT asifperacha predictabilityofsurgicalapgarscoreforpostoperativeoutcomesinhipfracturesaprospectiveobservationalstudy
AT noumanmemon predictabilityofsurgicalapgarscoreforpostoperativeoutcomesinhipfracturesaprospectiveobservationalstudy
AT naveedmemon predictabilityofsurgicalapgarscoreforpostoperativeoutcomesinhipfracturesaprospectiveobservationalstudy