O051 Combining sarcopenia and asa status to inform emergency laparotomy outcomes: could it be that simple?
نویسندگان
چکیده
Abstract Introduction Emergency laparotomy mortality prediction tools are usually multipoint scoring systems such as NELA, ACS-NSQIP, and P-POSSUM. However, these time consuming complex to use. Sarcopenia on CT scans is correlated with in emergency patients we explored the combination of this (as measured by PM:L3) ASA a simple efficient tool predict outcome Laparotomies. Methods A retrospective analysis was conducted across four hospitals, identifying 500 who underwent laparotomies between 2016-2017 had contemporaneous abdomino-pelvic scans. Radiological sarcopenia using PM:L3 ratio cross-sectional axial slice. PM:L3, P-POSSUM, well simplified (sASA) were retrospectively calculated assessed potential predictors 30-, 90-, 365-day mortality. Results P-POSSUM PM:L3/sASA each statistically significant 30-day, 90-day (p<0.001). Logistic regression models 90- containing just two exhibited AUCs 0.838, 0.805 0.775 respectively, which comparable best currently used ACS-NSQIP NELA. Conclusion Combining scores appears be predictor Australia. The results some performing widely risk assessment provide more time-efficient accessible method assessments Laparotomy patients.
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2023
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znad101.051