Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator
Yıl: 2022 Cilt: 28 Sayı: 4 Sayfa Aralığı: 418 - 427 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.45808 İndeks Tarihi: 10-05-2023
Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator
Öz: BACKGROUND: This study aims to evaluate the predictive level of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) risk calculator for post-appendectomy complications. METHODS: A total of 292 patients who were hospitalized for general appendectomy were included in the study. The age range of the patients was 18–76 years (mean: 35.3±13.6 years). The mean body mass index was 25.8±4.6. Twenty data points were entered into the ACS-NSQIP surgical risk calculator (SRC), which yielded the 17 most common complications and the average LOHS. Complications encountered in 30-day follow-up were categorized according to the complications predicted by SRC. The actual and observed complication rates and LOHS were compared RESULTS: Post-operative complications developed in 13.4% of the patients, surgical site infection in 11.3%, serious complications in 3.1%, and readmission in 2.1%. Serious complications included pneumonia, sepsis, cardiac complications, and renal failure. The mean LOHS was 1.91±1.64 days (range: 1–14 days). No thromboembolism or mortality was observed. When the comparison of complications using SRC was made with the ROC curve, the predictive value of SRC was 84.2% for any complication, 86.7% for serious complication, 47.6% for surgical site infection, 95.9% for renal failure, 99.0% for resurgery, and 88.3% for sepsis. CONCLUSION: Although it is rare to see complications after simple appendectomy, it is known that complication rates increase significantly in the elderly, the obese, and those with comorbidities. Tools such as SRC will be beneficial for patients with these risk factors.
Anahtar Kelime: Açık ve laparoskopik apendektomi sonrası komplikasyonların “American College of Surgeon National Surgical Quality Improvment Program” risk hesaplayıcıya göre değerlendirilmesi
Öz: AMAÇ: ACS-NSQIP (American College of Surgeons National Surgical Quality Improvement Program)’nin akut apandisitte komplikasyonları öngörü derecesinin değerlendirilmesi amaçlanmıştır. GEREÇ VE YÖNTEM: Akut apandisit nedeniyle yatışı yapılan ve apendektomi planlanan 292 hasta çalışmaya dahil edilmiştir. Yaş aralığı 18–76 (ortalama yaş 35.3±13.6) olarak bulundu. Vücut kitle indeksi ortalama 25.8±4.6 şeklinde hesaplandı. Hastalarla ilgili 20 veri ACS-NSQIP Cerrahi Risk Hesaplayıcı’ya (CRH) girildikten sonra en sık görülen 17 komplikasyon oranı ve ortalama hastanede yatış süresi verilmektedir. Otuz günlük takiplerde gözlenen komplikasyonlar CRH’nin öngördüğü komplikasyonlara göre kategorize edildi. Gözlenen komplikasyon oranları ve hastanede yatış süreleri ile CRH’nin öngördüğü komplikasyon oranları ve hstanede yatış süreleri karşılaştırıldı. BULGULAR: Hastalarımızda herhangi bir komplikasyon gelişenler %13.4, cerrahi alan enfeksiyonu %11.3, ciddi komplikasyon gelişenler %3.1, hastaneye tekrar başvuru %2.1 şeklinde gözlendi. Ciddi komplikasyonların içerisine, pnömoni, sepsis, kardiyak komplikasyonlar ve böbrek yetersizliği dahil edildi. Hastanede yatış süresi ortalama 1.91±1.64 şeklinde, yatış süresi aralığı ise 1–14 arasında görüldü. Venöz tromboemboli gözlenen hastamız olmadı. Hiçbir hastamızda mortalite gözlenmedi. CRH ile gerçekleşen komplikasyon karşılatırılması ROC eğrisi ile yapıldığında CRH’nin öngörü düzeyi; herhangi bir komplikasyonda doğruluk oranı %84.2, ciddi komplikasyonda %86.7, cerrahi alan enfeksiyonunda %47.6, böbrek yetersizliğinde %95.9, tekrar ameliyatta %99.0 ve sepsiste %88.3 şeklinde olduğu görüldü. TARTIŞMA: Her ne kadar basit apendektomi sonrası komplikasyon görülmesi nadir bir durum olsa da özellikle yaşlı, obez, ek hastalıkları fazla olan hastalarda komplikasyon oranlarının belirgin artığı bilinmektedir. Öncelikle özellikli hasta ve hasta yakınlarına ameliyatın risklerini gösteren CRH gibi araçların yararı olacaktır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | BENK M, olcucuoglu e, Kaya I (2022). Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator. , 418 - 427. 10.14744/tjtes.2020.45808 |
| Chicago | BENK MEHMET SAH,olcucuoglu engin,Kaya Ismail Oskay Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator. (2022): 418 - 427. 10.14744/tjtes.2020.45808 |
| MLA | BENK MEHMET SAH,olcucuoglu engin,Kaya Ismail Oskay Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator. , 2022, ss.418 - 427. 10.14744/tjtes.2020.45808 |
| AMA | BENK M,olcucuoglu e,Kaya I Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator. . 2022; 418 - 427. 10.14744/tjtes.2020.45808 |
| Vancouver | BENK M,olcucuoglu e,Kaya I Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator. . 2022; 418 - 427. 10.14744/tjtes.2020.45808 |
| IEEE | BENK M,olcucuoglu e,Kaya I "Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator." , ss.418 - 427, 2022. 10.14744/tjtes.2020.45808 |
| ISNAD | BENK, MEHMET SAH vd. "Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator". (2022), 418-427. https://doi.org/10.14744/tjtes.2020.45808 |
| APA | BENK M, olcucuoglu e, Kaya I (2022). Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator. Ulusal Travma ve Acil Cerrahi Dergisi, 28(4), 418 - 427. 10.14744/tjtes.2020.45808 |
| Chicago | BENK MEHMET SAH,olcucuoglu engin,Kaya Ismail Oskay Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator. Ulusal Travma ve Acil Cerrahi Dergisi 28, no.4 (2022): 418 - 427. 10.14744/tjtes.2020.45808 |
| MLA | BENK MEHMET SAH,olcucuoglu engin,Kaya Ismail Oskay Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator. Ulusal Travma ve Acil Cerrahi Dergisi, vol.28, no.4, 2022, ss.418 - 427. 10.14744/tjtes.2020.45808 |
| AMA | BENK M,olcucuoglu e,Kaya I Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(4): 418 - 427. 10.14744/tjtes.2020.45808 |
| Vancouver | BENK M,olcucuoglu e,Kaya I Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(4): 418 - 427. 10.14744/tjtes.2020.45808 |
| IEEE | BENK M,olcucuoglu e,Kaya I "Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator." Ulusal Travma ve Acil Cerrahi Dergisi, 28, ss.418 - 427, 2022. 10.14744/tjtes.2020.45808 |
| ISNAD | BENK, MEHMET SAH vd. "Evaluation of complications after laparoscopic and open appendectomy by the American College of Surgeons National Surgical Quality Improvement Program surgical risk calculator". Ulusal Travma ve Acil Cerrahi Dergisi 28/4 (2022), 418-427. https://doi.org/10.14744/tjtes.2020.45808 |
