Assessment of the Surgical Apgar Score in a Swedish setting
Pre-operative patient characteristics and intraoperative variables were recorded for 224 patients undergoing general and vascular surgery between 26 October and 17 December 2009. Major complications were evaluated during a 30-day follow-up. The relationship between Surgical Apgar Score and major complication was analysed using 2-tests and the relative risk between different scoring patient groups was analysed. Results:
The study showed a strong correlation between the Surgical Apgar Score and major complication (P<0.001). 61.5% of the lowest-scoring patients sustained a major complication compared with only 6.4% in the highest-scoring group. This is equivalent to a relative risk of 7.14 (95% CI: 2.88–17.5, P<0.001). Conclusions:
The Surgical Apgar Score is valid in a Scandinavian setting. We also note that there were no practical issues in collecting the score. Together with patient pre-operative risk, the score has great potential to guide clinicians when making post-operative decisions and give immediate feedback about the surgical procedure. The next step should be to educate surgical staff about the score.
Document Type: Research Article
Affiliations: Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Umeå, Umeå, Sweden
Publication date: May 1, 2011