Resumen
Introduction: The Surgical Apgar Score (SAS) is a simple and reliable assessment system that identifies patients who are at risk for perioperative complications. Objective: To determine the use of the Surgical Apgar Score (SAS) as a prognostic factor for major complications in the first 30 postoperative days. Methodology: This is a retrospective cross-sectional study of a case series developed with information from clinical records of 263 patients undergoing major surgery at the Herrera Llerandi Hospital in Guatemala City during the months of January to April 2018. Results: Using the Chi-square test it was verified that there is a relationship between the surgical Apgar score (SAS) and the presence of postoperative complications. Conclusion: The Surgical Apgar Score (SAS) is useful as a prognostic factor for postoperative complications.
Citas
Weiser, T.G., Regenbogen, S. E., Thompson, K.D., Haynes, A.B., Lipsitz, S.R., Berry, W.R., Gawande, A.A. An estimation of the global volume of surgery: a modeling strategy based on available data. Lancet. 2008, Jul.; 372(9633): 139-144. https://doi.org/10.1016/S0140-6736(08)60878-8
Nair, A., Bharuka, A., Rayani, B.K. The Reliability of Surgical Apgar Score in Predicting Immediate and Late Postoperative Morbidity and Mortality: A Narrative Review. Rambam Maimonides Medical Journal. 2018, Jan.; 9(1): e0004. https://doi.org/10.5041/RMMJ.10316
Sobol, J.B., Gershengorn, H.B., Wunsch, H., Li, G. The surgical Apgar score is strongly associated with intensive care unit (ICU) admission after high-risk intra-abdominal surgery. Anesth Analg. 2013, August; 117(2): 438–446. https://doi.org/10.1213/ANE.0b013e31829180b7
Thorn, C., Chan, M., Sinha, N., Harrison, R.A. Utility of the Surgical Apgar Score in a District General Hospital. World journal of surgery. 2012, May; 36(5): 1066-1073. https://doi.org/10.1007/s00268-012-1495-2
Gawande, A.A., Kwaan, M.R., Regenbogen, S.E., Lipsitz, S.A., Zinner, M.J. An Apgar Score for Surgery. Journal of the American College of Surgeons. 2007, Feb.; 204(2): 201-208. https://doi.org/10.1016/j.jamcollsurg.2006.11.011
Haddow, J.B., Adwan, H., Clark, S.E., Tayeh, S. Antonowicz, S.S., Jayia, P., Chicken, D.W., Wiggins, T., Davenport, R., Kapatanis, S., Fakhry, M., Knowles, C.H., Elmetwally, A.S., Geddoa, E., Nair, M.S., Naeem, I., Adegbola, S. y Muirhead, L.J. Use of the surgical Apgar score to guide postoperative care. Annals Royal College of Surgeons of England. 2014, July; 96(5): 352–358. https://doi.org/10.1308/003588414X13946184900840
Sandoval Orellana, M., Adaya Leythe, E.A., Avila Esquivel, J.F. Utilidad de la escala de APGAR quirúrgico (SAS) como factor pronóstico de complicaciones y morbilidad materna en el Instituto Materno Infantil del Estado de México, en el período comprendido entre 1 de enero y 31 de diciembre de 2015. Repositorio Institucional-RI. Hospital de ginecología y obstetricia. Instituto materno infantil del estado de México, 2016. http://hdl.handle.net/20.500.11799/63531 http://ri.uaemex.mx/handle/20.500.11799/63531
Ohlsson, H., Winsö, O. Assessment of the Surgical Apgar Score in a Swedish setting. Acta Anaesthesiologica Scandinavica. 2011, May; 55(5): 524–529. https://doi.org/10.1111/j.1399-6576.2011.02424.x
Regenbogen, S.E., Ehrenfeld, J.M., Lipsitz, S.R., Greenberg, C.C., Hutter, M.M., Gawande, A.A. Utility of the Surgical Apgar Score: validation in 4119 Patients. Archives of Surgery. 2009, Jan.; 144(1): 30–36. https://doi.org/10.1001/archsurg.2008.504
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