POSSUM: a scoring system for surgical audit.

POSSUM: a scoring system for surgical audit.
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DOI:
10.1002/bjs.1800780327
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发表时间:
1991-03-01
期刊:
The British journal of surgery
影响因子:
--
通讯作者:
Walters, M
Walters, M
中科院分区:
其他
文献类型:
--
作者:
Copeland, G P;Jones, D;Walters, M

文献摘要

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POSSUM,一个生理和手术严重程度评分的死亡率和发病率的枚举,被描述。该系统是通过回顾性和前瞻性分析来设计的,本文试图对其进行前瞻性验证。Logistic回归分析得出死亡率和发病率均具有统计学意义的方程(P < 0.001)。当以图形显示时,可以确定发病率和死亡率增加的区域,这在外科审计中可能有价值。评分系统产生的发病率和死亡率评估与观察到的发病率和死亡率没有显著差异。
POSSUM, a Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity, is described. This system has been devised from both a retrospective and prospective analysis and the present paper attempts to validate it prospectively. Logistic regression analysis yielded statistically significant equations for both mortality and morbidity (P less than 0.001). When displayed graphically zones of increasing morbidity and mortality rates could be defined which could be of value in surgical audit. The scoring system produced assessments for morbidity and mortality rates which did not significantly differ from observed rates.