From: Ability to predict surgical outcomes by surgical Apgar score: a systematic review
NO | Author(s) | Year | Type of study | Type of surgery | Number of patients | Article Findings | Surgical Apgar score | Main outcome |
---|---|---|---|---|---|---|---|---|
1 | Paul Q. Reynolds [8] | 2011 | Cohort study | All kind of surgeries | 123,864 | There was a direct correlation between the SAS and the probability of Postoperative death | Not applicable | • Death • A weak association between SAS and mortality among burn patients |
2 | Kyoko Shiozaki [74] | 2016 | Prospectively study | craniotomy, neck surgery, thoracotomy, laparotomy, hip or pelvic surgery, spinal surge | 284 | SAS can predict serious unfavorable following major surgery | Not applicable | • Respiratory failure • Pulmonary embolism • Pulmonary edema • Acute myocardial infarction • Cardiac arrest • Deep venous thromboembolism • Acute kidney injury • Cerebrovascular disease • Severe sepsis • ICU readmission • Death |
3 | Maxim A. Terekhov [75] | 2015 | Retrospective cohort | Non cardiac surgery | 44,835 | This score alone was a considerable predictor of 30-day death | Not applicable | • 30 day mortality • Hospital mortality • Morbidity • ICU admission • Hospital readmission |
4 | Alex B. Haynes [76] | 2011 | Prospective observational study | Noncardiac Operation with general anesthesia | 5,909 | Predict major outcomes among adults who underwent non-cardiac surgery | SAS (0–4) | • site infection • unplanned return to the operating room • sepsis • prolonged mechanical ventilation • pneumonia |
5 | L. McLean House [77] | 2016 | Retrospective cohort study | Noncardiac surgery | 46,799 | SAS can improve patient triage | SAS (0–4) | • MI • sepsis • Cardiac troponin leak |
6 | Nina E. Glass [78] | 2015 | Prospective study | Any operation | 2125 | SAS is accompanied by a long ICU stay following elective postoperative admission | SAS ≤ 7 | • Postoperative ICU Admission |
7 | Christopher C. Thorn [79] | 2012 | Prospective study | General surgical and vascular procedures, lower limb joint replacement, emergency fractured neck of the femur | 223 | SAS can predict emergency general and vascular outcomes It appears that the SAS is a useful adjunct in making decision in orthopedic surgery context | Not applicable | • acute renal failure • bleeding • cardiac arrest • deep venous thrombosis • myocardial infarction • unplanned intubation • pneumonia • pulmonary embolism • stroke • wound disruption • surgical site infection • sepsis • septic shock • systemic inflammatory response • syndrome vascular graft failure • death |