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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/9822
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dc.contributor.authorBuzincu, Iulian
dc.contributor.authorTănase, Sebastian
dc.contributor.authorPuf, Cătălina
dc.contributor.authorGrigoraş, Ioana
dc.date.accessioned2020-05-25T18:23:40Z
dc.date.available2020-05-25T18:23:40Z
dc.date.issued2018
dc.identifier.citationBUZINCU, Iulian, TĂNASE, Sebastian, PUF, Cătălina, GRIGORAȘ, Ioana. What is the cut-off value of Surgical Apgar Score which predicts the complicated postoperative evolution of the surgical oncological patient? In: The Moldovan Medical Journal. 2018, vol. 61 (AIC congress issue), september, p. 18. ISSN 2537-6381.en_US
dc.identifier.issn2537-6381
dc.identifier.urihttp://moldmedjournal.md/wp-content/uploads/2018/09/61-4-ATI-Congres.pdf
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/9822
dc.descriptionGrigore T. Popa University of Medicine and Pharmacy, Iași, Romania, Regional Institute of Oncology, Iași, Romania, The 5th International Congress of the Society of Anesthesiology and Reanimatology of the Republic of Moldova, 16th Edition of the International Course of Guidelines and Protocols in Anesthesia, Intensive Care and Emergency Medicine, 28th Meeting of the European Society for Computing and Technology in Anesthesia and Intensive Care September 27-29, 2018, Chisinau, the Republic of Moldovaen_US
dc.description.abstractIntroduction: The surgical Apgar score (SAS), which quantifies blood loss, lowest mean blood pressure and lowest heart rate during surgery may be easily calculated at the end of surgery and varies between 0-10 points. Previous studies reported that a low SAS is associated with a complicated outcome. Objective: The study aims to calculate the cut-off value of SAS which predicts the complicated postoperative evolution. Methods: The prospective observational study enrolled all consecutive oncological patients submitted to surgery in Regional Institute of Oncology Iași between 29.01-19.02.2018. SAS was calculated at the end of surgery. The complicated postoperative evolution was assessed by the presence of early organ dysfunctions, postoperative complications (medical/surgical) and the discharge status (alive/deceased). Early cardio-vascular, renal and metabolic dysfunctions were defined as the need for hemodynamic support, the rise of serum creatinine ≥1,5 preoperative value and serum lactate >2mmol/l. Medical and surgical complications were defined according to recognized criteria. The statistical analysis was performed with Excel+Analyse-it®. Results: The study group included 205 patients: early postoperative dysfunction – 26 patients (12,7%); postoperative complications – 33 patients (16%) and mortality – 15 patients (7,3%). The median value of SAS was 8. SAS≤8 was strongly associated with the occurrence of cardiovascular dysfunction (OR=12,7;IC95%=2,77-58; p<0,0001), of postoperative complications (OR=2,35;IC95%=1,1-5; p<0,05), and of death (OR=4,6;IC95%=1,41-15; p<0,01) and SAS≤7 was associated with the occurrence of renal (OR=3,6;IC95%=1,3-9,8; p<0,05) and metabolic dysfunction (OR=14,5;IC95%=3,7-56,6; p<0,0001). Conclusions: The Surgical Apgar Score is a simple and useful tool to predict the complicated postoperative evolution of the oncological patient and a cut-off value of 7 predicts a complicated outcome.
dc.language.isoenen_US
dc.publisherThe Scientific Medical Association of the Republic of Moldovaen_US
dc.relation.ispartofThe Moldovan Medical Journal: The 5th International Congress of the Society of Anesthesiology and Reanimatology of the Republic of Moldova, 16th Edition of the International Course of Guidelines and Protocols in Anesthesia, Intensive Care and Emergency Medicine, 28th Meeting of the European Society for Computing and Technology in Anesthesia and Intensive Care September 27-29, 2018, Chisinau, the Republic of Moldova
dc.subjectoncological patienten_US
dc.subjectSurgical Apgar Scoreen_US
dc.subjectpostoperative outcomeen_US
dc.titleWhat is the cut-off value of Surgical Apgar Score which predicts the complicated postoperative evolution of the surgical oncological patient?en_US
dc.typeArticleen_US
Appears in Collections:The Moldovan Medical Journal, Vol. 61, September 2018 AIC Congress Issue



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