Comparison of Markers for Prediction of Postoperative Pulmonary Complications; Asa and Ariscat

Yıl 2021, Cilt: 5 Sayı: 1, 50 - 54, 20.04.2021

Zeynel Abidin Erbesler

https://doi.org/10.46332/aemj.787569

Cited By: 2

Öz

Purpose: Pulmonary complications are important causes of morbidity and mortality that may occur after surgery. The aim of this study is to investigate the predictive value of American Society of Anesthesiologist (ASA) and The Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) risk scoring systems in determining the risk of pulmonary complications during the postoperative period.

Materials and Methods: After obtaining ethics committee approval, 246 patients who were undergone elective operations between April 2019 - October 2019 in Ahi Evran University Department of Orthopedics and Traumatology were enrolled in the study. Gender, age and ASA clinical classification of all cases were recorded. Concommittant systemic diseases and types of surgery were recorded. ARISCAT risk index of all patients was calculated. In addition, postoperative pulmonary complications (PPC) such as atelectasis,pneumonia and respiratory failure seen within 1 month postoperatively were recorded as well.

Results: PPC developed in 15 (6.09%) cases. If we compare ASA and ARISCAT risk scoring system, ARISCAT appears to be more effective to predict the risk of PPC, but no statistically significant difference was found.

Conclusion: Although ASA score can be used for evaluating health state of patients subjectively at preoperative period, ARISCAT risk index could also be used for prediction of postoperative pulmonary complications.

Anahtar Kelimeler

ASA, ARISCAT, preoperative evaluation

Postoperatif Pulmoner Komplikasyonların Öngörülmesinde Belirteç Karşılaştırılması; Asa ve Ariscat

Öz

Giriş: Ameliyat sonrası gelişen pulmoner komplikasyonlar önemli bir morbidite ve mortalite nedenidir. Bu çalışmanın amacı; elektif ortopedik cerrahi geçiren hastalarda, preoperatif dönemde uygulanan American Society of Anesthesiologist (ASA) ve Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) risk skorlama sistemlerinin postoperatif pulmoner komplikasyonların (PPK) ortaya çıkmasını öngörmede etkinliğini araştırmaktır. 

Araçlar ve Yöntem: Etik kurul onayı alındıktan sonra Nisan 2019 - Ekim 2019 tarihleri arasında, Ahi Evran Üniversitesi Ortopedi ve Travmatoloji Kliniğinde opere edilmiş 246 elektif hasta çalışmaya alındı. Tüm hastaların cinsiyet, yaş, ASA klinik sınıflamaları, eşlik eden sistemik hastalıklar ve cerrahi türleri kaydedildi ve ARISCAT risk indekleri hesaplandı. Postoperatif 1. ayda PPK (atelektazi, pnömoni ve solunum yetersizliği) gelişen hastalar kaydedildi.

Bulgular: Toplam 15 (%6,09) olguda PPK gelişti. PPK gelişme riskinde ASA ve ARISCAT risk skorlama sistemi karşılaştırıldığında ARISCAT daha etkili gibi görünsede anlamlı fark bulunamadı.

Sonuç: ASA ölçeği preoperatif sağlık durumunu subjektif olarak tahmin etmek için yaygın olarak kullanılmaktadır. Çalışmamızda ARISCAT ölçeğinin PPK’ları saptamada ASA skoruna göre, istatistiki açıdan anlamlı farklılık yaratmadığını saptadık.

Anahtar Kelimeler

ASA, ARİSCAT, preoperatif değerlendirme

Kaynakça

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