Can ACS-NSQIP score be used to predict postoperative mortality in Saudi population?

Background: Various scoring systems help in classifying the patient's risk preoperatively and hence to decide the best available treatment option. ACS-NSQIP score has been introduced in clinical practice for few years. This study was done to find out whether there is any difference between pred...

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Main Authors: Anwar U Huda, Mohammad Yasir, Nasrullah Sheikh, Asad Z Khan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2022;volume=16;issue=2;spage=172;epage=175;aulast=Huda
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author Anwar U Huda
Mohammad Yasir
Nasrullah Sheikh
Asad Z Khan
author_facet Anwar U Huda
Mohammad Yasir
Nasrullah Sheikh
Asad Z Khan
author_sort Anwar U Huda
collection DOAJ
description Background: Various scoring systems help in classifying the patient's risk preoperatively and hence to decide the best available treatment option. ACS-NSQIP score has been introduced in clinical practice for few years. This study was done to find out whether there is any difference between predicted mortality from ACS-NSQIP score and observed mortality in Saudi population. Methods: This prospective observational study was conducted at Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia. We included patients undergoing elective and emergency surgical procedures in our hospital. Thirty days mortality data was collected and then observed to expected (O/E) mortality ratio was calculated. The sample size for our study was nine hundred and three (903) patients. Results: The mean ACS-NSQIP mortality risk score (%) for the study was 0.49. Expected number of mortalities was 4.42 while observed mortalities were 11, yielding an O/E ratio of 2.48 (p-value 0.000). We did not find a significant difference between expected and observed mortalities except for ASA class 3 and 4 patients where expected numbers of mortalities were lower than observed (p-value < 0.05). Conclusion: ACS-NSQIP can be reliably used for postoperative mortality prediction especially in lower risk groups.
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spelling doaj.art-7f798511dc474ea6a279e0b0b171df8e2022-12-22T03:14:10ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2022-01-0116217217510.4103/sja.sja_734_21Can ACS-NSQIP score be used to predict postoperative mortality in Saudi population?Anwar U HudaMohammad YasirNasrullah SheikhAsad Z KhanBackground: Various scoring systems help in classifying the patient's risk preoperatively and hence to decide the best available treatment option. ACS-NSQIP score has been introduced in clinical practice for few years. This study was done to find out whether there is any difference between predicted mortality from ACS-NSQIP score and observed mortality in Saudi population. Methods: This prospective observational study was conducted at Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia. We included patients undergoing elective and emergency surgical procedures in our hospital. Thirty days mortality data was collected and then observed to expected (O/E) mortality ratio was calculated. The sample size for our study was nine hundred and three (903) patients. Results: The mean ACS-NSQIP mortality risk score (%) for the study was 0.49. Expected number of mortalities was 4.42 while observed mortalities were 11, yielding an O/E ratio of 2.48 (p-value 0.000). We did not find a significant difference between expected and observed mortalities except for ASA class 3 and 4 patients where expected numbers of mortalities were lower than observed (p-value < 0.05). Conclusion: ACS-NSQIP can be reliably used for postoperative mortality prediction especially in lower risk groups.http://www.saudija.org/article.asp?issn=1658-354X;year=2022;volume=16;issue=2;spage=172;epage=175;aulast=Hudaacs-nsqippostoperative mortalityrisk assessmentscoring system
spellingShingle Anwar U Huda
Mohammad Yasir
Nasrullah Sheikh
Asad Z Khan
Can ACS-NSQIP score be used to predict postoperative mortality in Saudi population?
Saudi Journal of Anaesthesia
acs-nsqip
postoperative mortality
risk assessment
scoring system
title Can ACS-NSQIP score be used to predict postoperative mortality in Saudi population?
title_full Can ACS-NSQIP score be used to predict postoperative mortality in Saudi population?
title_fullStr Can ACS-NSQIP score be used to predict postoperative mortality in Saudi population?
title_full_unstemmed Can ACS-NSQIP score be used to predict postoperative mortality in Saudi population?
title_short Can ACS-NSQIP score be used to predict postoperative mortality in Saudi population?
title_sort can acs nsqip score be used to predict postoperative mortality in saudi population
topic acs-nsqip
postoperative mortality
risk assessment
scoring system
url http://www.saudija.org/article.asp?issn=1658-354X;year=2022;volume=16;issue=2;spage=172;epage=175;aulast=Huda
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