The Postoperative Morbidity Survey was validated and used to describe morbidity after major surgery
The Postoperative Morbidity Survey was validated and used to describe morbidity after major surgery
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DOI：
10.1016/j.jclinepi.2006.12.003
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发表时间：
2007-09-01
影响因子：
7.2
通讯作者：
Mythen, M. G.
中科院分区：
文献类型：
--
作者：
Grocott, M. P. W.;Browne, J. P.;Mythen, M. G.
目的：描述术后死亡率调查（POMS）的信度和效度。描述的水平和模式的短期术后发病率后，大的选择性手术使用POMS.Study设计和设置：这是一个前瞻性队列研究的439名成年人接受大的选择性手术在英国的教学医院。术后第3、5、8、15天进行POMS评分。结果：11/18项评分间信度良好（Kappa = 1.0），6/18项评分间信度良好（Kappa = 0.94）。通过观察数据趋势，POMS将区分具有已知发病风险测量值的患者并预测住院时间的先验假设得到了普遍支持，并且除了伤口和神经系统领域外，所有领域的结构有效性都有统计学显著性证据。术后第3天住院的433例患者中有325例（75.1%）、第5天住院的407例患者中有231例（56.8%）、第8天住院的299例患者中有138例（46.2%）和第15天住院的111例患者中有70例（63.1%）出现POMS定义的发病率。胃肠道（47.4%），感染（46.5%），疼痛相关（40.3%），肺部（39.4%），肾脏问题（33.3%）是最常见的形式的morbidity.Conclusion：POMS是一个可靠和有效的调查短期术后发病率在重大择期手术。许多患者仍在医院，根据POMS的记录，没有任何发病率。(c)2007年爱思唯尔公司All rights reserved.
Objectives: To describe the reliability and validity of the Postoperative Morbidity Survey (POMS). To describe the level and pattern of short-term postoperative morbidity after major elective surgery using the POMS.Study Design and Setting: This was a prospective cohort study of 439 adults undergoing major elective surgery in a UK teaching hospital. The POMS, an 18-item survey that address nine domains of postoperative morbidity, was recorded on postoperative days 3, 5, 8, and 15.Results: Inter-rater reliability was perfect for 11/18 items (Kappa = 1.0), with Kappa = 0.94 for 6/18 items. A priori hypotheses that the POMS would discriminate between patients with known measures of morbidity risk, and predict length of stay were generally supported through observation of data trends, and there was statistically significant evidence of construct validity for all but the wound and neurological domains. POMS-defined morbidity was present in 325 of 433 patients (75.1 %) remaining in hospital on postoperative day 3 after surgery, 231 of 407 patients (56.8%) on day 5, 138 of 299 patients (46.2%) on day 8, and 70 of 111 patients (63.1 %) on day 15. Gastrointestinal (47.4%), infectious (46.5%), pain-related (40.3%), pulmonary (39.4%), and renal problems (33.3%) were the most common forms of morbidity.Conclusion: The POMS is a reliable and valid survey of short-term postoperative morbidity in major elective surgery. Many patients remain in hospital without any morbidity as recorded by the POMS. (c) 2007 Elsevier Inc. All rights reserved.