Surgical Apgar score is strongly associated with postoperative ICU admission

Abstract Immediate postoperative intensive care unit (ICU) admission can increase the survival rate in patients undergoing high-risk surgeries. Nevertheless, less than 15% of such patients are immediately admitted to the ICU due to no reliable criteria for admission. The surgical Apgar score (SAS) (...

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Autores principales:	Ying-Chun Lin, Yi-Chun Chen, Chen-Hsien Yang, Nuan-Yen Su
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/10a380d4e6ba4bc58c468b214d64dfa6
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spelling	oai:doaj.org-article:10a380d4e6ba4bc58c468b214d64dfa62021-12-02T15:08:21ZSurgical Apgar score is strongly associated with postoperative ICU admission10.1038/s41598-020-80393-z2045-2322https://doaj.org/article/10a380d4e6ba4bc58c468b214d64dfa62021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-80393-zhttps://doaj.org/toc/2045-2322Abstract Immediate postoperative intensive care unit (ICU) admission can increase the survival rate in patients undergoing high-risk surgeries. Nevertheless, less than 15% of such patients are immediately admitted to the ICU due to no reliable criteria for admission. The surgical Apgar score (SAS) (0–10) can be used to predict postoperative complications, mortality rates, and ICU admission after high-risk intra-abdominal surgery. Our study was performed to determine the relationship between the SAS and postoperative ICU transfer after all surgeries. All patients undergoing operative anesthesia were retrospectively enrolled. Among 13,139 patients, 68.4% and < 9% of whom had a SASs of 7–10 and 0–4. Patients transferred to the ICU immediately after surgery was 7.8%. Age, sex, American Society of Anesthesiologists (ASA) class, emergency surgery, and the SAS were associated with ICU admission. The odds ratios for ICU admission in patients with SASs of 0–2, 3–4, and 5–6 were 5.2, 2.26, and 1.73, respectively (P < 0.001). In general, a higher ASA classification and a lower SAS were associated with higher rates of postoperative ICU admission after all surgeries. Although the SAS is calculated intraoperatively, it is a powerful tool for clinical decision-making regarding the immediate postoperative ICU transfer.Ying-Chun LinYi-Chun ChenChen-Hsien YangNuan-Yen SuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ying-Chun Lin Yi-Chun Chen Chen-Hsien Yang Nuan-Yen Su Surgical Apgar score is strongly associated with postoperative ICU admission
description	Abstract Immediate postoperative intensive care unit (ICU) admission can increase the survival rate in patients undergoing high-risk surgeries. Nevertheless, less than 15% of such patients are immediately admitted to the ICU due to no reliable criteria for admission. The surgical Apgar score (SAS) (0–10) can be used to predict postoperative complications, mortality rates, and ICU admission after high-risk intra-abdominal surgery. Our study was performed to determine the relationship between the SAS and postoperative ICU transfer after all surgeries. All patients undergoing operative anesthesia were retrospectively enrolled. Among 13,139 patients, 68.4% and < 9% of whom had a SASs of 7–10 and 0–4. Patients transferred to the ICU immediately after surgery was 7.8%. Age, sex, American Society of Anesthesiologists (ASA) class, emergency surgery, and the SAS were associated with ICU admission. The odds ratios for ICU admission in patients with SASs of 0–2, 3–4, and 5–6 were 5.2, 2.26, and 1.73, respectively (P < 0.001). In general, a higher ASA classification and a lower SAS were associated with higher rates of postoperative ICU admission after all surgeries. Although the SAS is calculated intraoperatively, it is a powerful tool for clinical decision-making regarding the immediate postoperative ICU transfer.
format	article
author	Ying-Chun Lin Yi-Chun Chen Chen-Hsien Yang Nuan-Yen Su
author_facet	Ying-Chun Lin Yi-Chun Chen Chen-Hsien Yang Nuan-Yen Su
author_sort	Ying-Chun Lin
title	Surgical Apgar score is strongly associated with postoperative ICU admission
title_short	Surgical Apgar score is strongly associated with postoperative ICU admission
title_full	Surgical Apgar score is strongly associated with postoperative ICU admission
title_fullStr	Surgical Apgar score is strongly associated with postoperative ICU admission
title_full_unstemmed	Surgical Apgar score is strongly associated with postoperative ICU admission
title_sort	surgical apgar score is strongly associated with postoperative icu admission
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/10a380d4e6ba4bc58c468b214d64dfa6
work_keys_str_mv	AT yingchunlin surgicalapgarscoreisstronglyassociatedwithpostoperativeicuadmission AT yichunchen surgicalapgarscoreisstronglyassociatedwithpostoperativeicuadmission AT chenhsienyang surgicalapgarscoreisstronglyassociatedwithpostoperativeicuadmission AT nuanyensu surgicalapgarscoreisstronglyassociatedwithpostoperativeicuadmission
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Surgical Apgar score is strongly associated with postoperative ICU admission

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