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Evaluation of P-POSSUM scoring system in predicting mortality in patients with hip joint arthroplasty

Chinese Journal of Traumatology 2006年第1期9卷 50-55页

作者：谷贵山张德宝张博皓孙乃坤 Department of Orthopedics First Affiliated Hospital Jilin University Changchun 130021 China

Objective: To evaluate the applicability of Porthsmouth modified physiological and operative severity score for the enumeration of mortality and morbidity (P-POSSUM) in predicting the mortality of the patients undergoing hip joint arthroplasty. Methods: A total of 141 patients (75 males and 66 females, aged 63.22 years± 14.45 years on an average) undergoing hip joint arthroplasty during January 2002 and March 2005 were studied retrospectively with P-POSSUM. Their average physiological score and operative severity score were 17.48±5.16 and 12.43±3.05, respectively. The predicted postoperative mortality with P-POSSUM was compared with the observed value. Subgroup analysis was performed to investigate the predictive capability of P-POSSUM. POSSUM scoring system was used as the control. Results: Three patients died after operation in this study actually. The average physiological scores were 32.33±9.87 in the death group and 17.16±4.56 in the survival group. The former was obviously higher than the latter, which showed statistical difference between the two groups (Wilcoxon rank sum test, P0.05), though POSSUM overestimated the overall mortality. Conclusions: P-POSSUM can predict the mortality accurately in the patients undergoing hip joint arthroplasty, which is superior to POSSUM.

关键词： P-POSSUM 臀部损伤治疗死亡

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