Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo khoa học: "Application of Portsmouth modification of physiological and operative severity scoring system for enumeration of morbidity and mortality (P-POSSUM) in pancreatic surgery"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Application of Portsmouth modification of physiological and operative severity scoring system for enumeration of morbidity and mortality (P-POSSUM) in pancreatic surgery | World Journal of Surgical Oncology BioMed Central Research Open Access Application of Portsmouth modification of physiological and operative severity scoring system for enumeration of morbidity and mortality P-POSSUM in pancreatic surgery Appou Tamijmarane Chandra S Bhati Darius F Mirza Simon R Bramhall David A Mayer Stephen J Wigmore and John AC Buckels Address Queen Elizabeth hospital liver unit Birmingham UK Email Appou Tamijmarane - appou.tamijmarane@gmail.com Chandra S Bhati - csbhati@gmail.com Darius F Mirza - darius.mirza@bham.ac.uk Simon R Bramhall - simon.bramhall@uhb.nhs.uk David A Mayer - david.mayer@uhb.nhs.uk Stephen J Wigmore - s.wigmore@ed.ac.uk John AC Buckels - john.buckels@uhb.nhs.uk Corresponding author Published 9 April 2008 Received 12 October 2007 World Journal of Surgical Oncology 2008 6 39 doi 10.1186 1477-7819-6-39 Accepted 9 April 2008 This article is available from http www.wjso.cOm content 6 1 39 2008 Tamijmarane et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Pancreatoduodenectomy PD is associated with high incidence of morbidity and mortality. We have applied P-POSSUM in predicting the incidence of outcome after PD to identify those who are at the highest risk of developing complications. Method A prospective database of 241 consecutive patients who had PD from January 2002 to September 2005 was retrospectively updated and analysed. P-POSSUM score was calculated for each patient and correlated with observed morbidity and mortality. Results 30 days mortality was 7.8 and morbidity was 44.8 . Mean physiological score was 16.07 3.30. Mean operative score was 13.67 3.42. Mean operative score rose to 20.28 2.52 for the complex major operation p 0.001 with 2 fold increase in