POSSUM scoring system for predicting mortality in surgical patients

This study evaluated the use of the POSSUM (Physiological and Operative Severity Score for Enumeration of Mortality and Morbidity) score for predicting mortality in surgical practice. In this study, 416 surgical patients admitted into ICUs for post-surgical care were analyzed. Both predicted and act...

Full description

Saved in:

Bibliographic Details
Published in:	Revista da Escola de Enfermagem da U S P Vol. 43; no. 1; p. 23
Main Authors:	Elías, Adriana Cristina Galbiatti Parminondi, Matsuo, Tiemi, Grion, Cíntia Magalhães Carvalho, Cardoso, Lucienne Tibery Queiroz, Verri, Paulo Henrique
Format:	Journal Article
Language:	Portuguese
Published:	Brazil 01-03-2009
Subjects:	Adolescent Adult APACHE Female Health Status Indicators Humans Male Prognosis Risk Assessment Surgical Procedures, Operative - mortality Young Adult
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	This study evaluated the use of the POSSUM (Physiological and Operative Severity Score for Enumeration of Mortality and Morbidity) score for predicting mortality in surgical practice. In this study, 416 surgical patients admitted into ICUs for post-surgical care were analyzed. Both predicted and actual mortality rates were compared, according to four risk groups: 0-4%, 5-14%, 15-49%, 50% and over, and the area under the ROC curve of the POSSUM and APACHE II for mortality. The POSSUM and APACHE II scores overestimated the risk of death. The area under the ROC curve of the POSSUM was 0.762, and under APACHE II was 0.737, suggesting the use of POSSUM as an auxiliary tool to predict the risk of death in surgical patients.
ISSN:	0080-6234