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Estimation of Physiologic Ability and surgical stress scoring system for predicting complications following abdominal surgery: A metaanalysis spanning 2004 to 2022

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World Journal of Gastrointestinal Surgery 2024年第1期16卷 215-227页

作者： Tian-Shu Pang Li-Ping Cao Department of General Surgery Sir Run Run Shaw HospitalSchool of MedicineZhejiang UniversityHangzhou 310016Zhejiang ProvinceChina

BACKGROUND Postoperative complications remain a paramount concern for surgeons and healthcare *** To present a comprehensive analysis of the Estimation of Physiologic Ability and surgical stress(E-PASS)scoring system’s efficacy in predicting postoperative complications following abdominal *** A systematic search of published studies was conducted,yielding 17 studies with pertinent *** such as preoperative risk score(PRS),surgical stress score(SSS),comprehensive risk score(CRS),postoperative complications,post-operative mortality,and other clinical data were collected for *** plots were employed for continuous and binary variables,withχ2 tests assessing heterogeneity(P value).RESULTS Patients experiencing complications after abdominal surgery exhibited significantly higher E-PASS scores compared to those without complications[mean difference and 95%confidence interval(CI)of PRS:0.10(0.05-0.15);SSS:0.04(0.001-0.08);CRS:0.19(0.07-0.31)].Following the exclusion of low-quality studies,results remained valid with no discernible *** analysis indicated that variations in sample size and age may contribute to hetero-geneity in CRS *** variable meta-analysis demonstrated a correlation between high CRS and increased postoperative complication rates[odds ratio(OR)(95%CI):3.01(1.83-4.95)],with a significant association observed between high CRS and postoperative mortality[OR(95%CI):15.49(3.75-64.01)].CONCLUSION In summary,postoperative complications in abdominal surgery,as assessed by the E-PASS scoring system,are consistently linked to elevated PRS,SSS,and CRS *** CRS scores emerge as risk factors for heightened morbidity and *** study establishes the accuracy of the E-PASS scoring system in predicting postoperative morbidity and mortality in abdominal surgery,underscoring its potential for widespread adoption in effective risk assessment.

关键词： Estimation of Physiologic Ability and surgical stress scoring system Preoperative risk score surgical stress score Comprehensive risk score Complications

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