Mortality and Morbidity Prediction for Older Patients Undergoing Emergency Abdominal Surgery—Comparison of the POSSUM, E-PASS Score, and SASA Score

Kenig, Jakub; Mastalerz, Kinga; Szabat, Kinga; Urszula, Skorus; Rapacz, Kamil

doi:10.1007/s12262-019-02027-7

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…Satisfaction. After consulting the literature and experts' discussion, we designed patients' follow-up satisfaction, a total of 10 items, and recorded patients' satisfaction with follow-up management mode, health education, medical and nursing service, and appointment registration process [12]. It is assigned into four dimensions: very satisfied, satisfied, general, and dissatisfied.…”

Section: Observation Indexmentioning

confidence: 99%

“…After a century of development, the term integrated management was formally formed in the middle of the 20th century, from which comprehensive nursing was developed and integrated with the thinking mode of the nursing procedure [ 11 ]. Comprehensive nursing is a new way of clinical nursing intervention, which is a perfect combination of nursing measures implemented by nurses in the process of holistic and comprehensive nursing for patients, in order to achieve an auxiliary method for the treatment of diseases [ 12 ]. Comprehensive nursing intervention needs to use multi-disciplinary knowledge to deal with the problems in clinical practice, through case assessment, planning, implementation, feedback, and adjustment, take appropriate nursing measures to meet the needs of patients.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Comprehensive Nursing on the Recovery of Gastrointestinal Function in Patients Undergoing Abdominal Operation

Xiang

Liu

Jin

2022

Computational Intelligence and Neuroscience

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Objective. The objective is to explore the effect of comprehensive nursing on the recovery of gastrointestinal function in patients undergoing an abdominal operation. Methods. Sixty patients undergoing abdominal surgery in our hospital from January 2019 to April 2021 were enrolled. The patients were arbitrarily assigned into control group and research group. The former group received routine nursing and the latter group received comprehensive nursing. Nursing satisfaction, gastrointestinal function, POMS-SF score, nutrition risk score, incidence of adverse reactions, and quality of life scores were compared. Results. The nursing satisfaction of the research group was higher than that of the control group, and the difference between the groups was statistically significant ( P < 0.05 ). In terms of gastrointestinal function, the anal exhaust time eating time defecation time and bowel sound recovery time in the research group were significantly lower than those in the control group, and the difference between the groups was statistically significant ( P < 0.05 ). In terms of POMS-SF score, the scores of tension–anxiety, depression–depression, fatigue–dullness, anger–hostility, and confusion–confusion in the research group were lower than those in the control group, while the energy-vitality score was higher than that in the control group, and the difference between the groups was statistically significant ( P < 0.05 ). There was no significant difference in nutritional risk score among patients before nursing ( P > 0.05 ); after nursing, the nutritional risk score decreased. Compared between the two groups, the nutritional risk score of the research group was lower when compared to the control group at 3 days, 5 days, and 7 days after nursing, and the difference between the groups was statistically significant ( P < 0.05 ). In terms of the incidence of adverse reactions, the incidence of adverse reactions such as incision effusion, incision infection, incision dehiscence, and anastomotic leakage in the research group was lower when compared to the control group, and the difference between the groups was statistically significant ( P < 0.05 ). Regarding quality of life scores, before nursing, there exhibited no significant difference of patients ( P > 0.05 ); after nursing, the quality of life scores of patients decreased. Compared with the two groups, the physical function, psychological function, social function, and healthy self-cognition scores of the research group were all lower compared to the control group, and the difference between the groups was statistically significant ( P < 0.05 ). Conclusion. Abdominal surgery patients received comprehensive care, which improved their mental health, reduced anxiety and depression levels, relieved fatigue and dullness, improved energy and vitality, and enhanced their overall mood. Meanwhile, it can also promote the recovery of gastrointestinal function in patients and reduce the incidence of adverse reactions.

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Section: Observation Indexmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of Comprehensive Nursing on the Recovery of Gastrointestinal Function in Patients Undergoing Abdominal Operation

Xiang

Liu

Jin

2022

Computational Intelligence and Neuroscience

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“…Hasil penelitian (Dullo et al, 2013) menunjukkan hasil bahwa SAS sebagai alat sederhana yang berguna dalam memprediksi risiko pasca operasi laparatomi dimana kejadian morbiditas pada pasien risiko tinggi sebesar 58,3% dan pasien dengan risiko rendah sebesar (16,6%) (p value < 0,001). Penelitian (Das et al, 2014) dan (Jakub et al, 2020) menunjukkan bahwa sistem skoring menggunakan SAS memiliki nilai specificity sebesar 81% lebih besar dibandingkan sistem skoring POSSUM (specificity: 77%) dan SAPS (specificity: 74.1%).…”

Section: Pendahuluanunclassified

Gambaran Surgical Apgar Score (Sas) Perioperatif Pada Pasien Laparatomi Di Ruang Instalasi Bedah Sentral Rumah Sakit Umum Daerah Ajibarang

2022

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Post-laparotomy complications include bleeding, severe pain, and even death. This can be reduced by effective perioperative management. One of them is by applying the Surgical Apgar Score (SAS) which contains hemodynamic information and intraoperative blood loss. The aim of the study was to determine perioperative SAS in laparotomy patients. Using a cross-sectional descriptive research design, this study took 21 respondents with quota sampling technique. The research instrument uses the SAS assessment sheet with data analysis using a frequency distribution. The results showed that most of the sample characteristics were late elderly (> 55 years) (28.6%) with female gender (66.7%). More than half of the sample (76.2%) had an SAS score in the moderate risk category. While the highest rates of morbidity and mortality (7/21) at 12.2% and 1.9% Conclusion: the most SAS scores in laparotomy patients were in the moderate risk category.

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Mortality and Morbidity Prediction for Older Patients Undergoing Emergency Abdominal Surgery—Comparison of the POSSUM, E-PASS Score, and SASA Score

Cited by 2 publications

References 17 publications

Effect of Comprehensive Nursing on the Recovery of Gastrointestinal Function in Patients Undergoing Abdominal Operation

Effect of Comprehensive Nursing on the Recovery of Gastrointestinal Function in Patients Undergoing Abdominal Operation

Gambaran Surgical Apgar Score (Sas) Perioperatif Pada Pasien Laparatomi Di Ruang Instalasi Bedah Sentral Rumah Sakit Umum Daerah Ajibarang

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