Akademik Veri Yönetim Sistemi
Uluslarası Akademik ve Bilimsel Çalışmalar ve Araştırmalar Kongresi, 1 - 02 Eylül 2022, ss.14-23, (Tam Metin Bildiri)
Objective: In this prospective observational study, the primary outcome was to compare the surgical
APGAR score SAS and the modified SAS (mSAS). The secondary outcome was to define diagnostic
accuracy of the mSAS to predict postoperative complications and mortality.
Materials and Methods: The study was conducted in the Anaesthesiology and Reanimation Clinic in Prof.
Dr. Cemil Taşçıoğlu City Hospital between June and August 2017. The patients underwent major
abdominal/ortopedic surgery were enrolled. We calculated SAS and mSAS by adding the operation
duration to SAS. If the operation duration longer than 480 min, -4 points; between 421-480 min, -3 points;
301-420 min, -2 points; 181-300 min, -1 points; and ≤180 min, 0 points were added to SAS.
Results: We enrolled 308 patients in the study. There was a significant relationship between the mSAS
and the total number of complications (r: 0.395; p=0.001) and a directly proportional relationship between
the operation duration and the total number of complications (r: 0.345; p=0.001). The compliance of the
SAS and mSAS were 73.2.0% (ICC: 0.732; p=0.001).
Conclusion: We suggest that the operation duration should be added to SAS in major surgeries because
the mSAS is a useful tool to predict postoperative mortality and complications.