Acil kolorektal cerrahi yapılan hastalarda mortaliteyi öngörmede Amerikan Anesteziyoloji Derneği Sınıflaması (ASA) ve Charlson Komorbidite İndeksi (CCI)’nin karşılaştırılması

Year 2018, , 162 - 165, 30.09.2018

Deniz Tikici , Sadettin Er , Mesut Tez

https://doi.org/10.18663/tjcl.450882

Cited By: 1

Abstract

Amaç:
Acil kolorektal cerrahi yapılan hastalarda kolay
uygulanabilir ve pratik olan ASA (Amerikan Anesteziyoloji Derneği Sınıflaması) ve
CCI (Charlson Komorbidite İndeksi) gibi skorlama sistemlerini kullanarak
preoperatif değerlendirme ile mortaliteyi öngörebilmeyi amaçladık.

Gereç
ve Yöntemler: Ocak
2014 -Aralık 2017 tarihleri arasında Sağlık Bilimleri Üniversitesi Ankara
Numune Eğitim ve Araştırma Hastanesi Genel Cerrahi/Acil Cerrahi Kliniğine
başvuran AKC  yapılan 198 hastanın
verileri retrospektif olarak incelendi. Hastaların demografik özellikleri,
klinik tanıları, uygulanan cerrahi tipi, postoperatif komplikasyonlar, komorbiditeler,
ASA ve CCI skorları elektronik veri tabanından elde edildi.

Bulgular:198
hastanın 95’i (%47,9) kadın ve 103’ü (%52,1) erkek idi. Ortanca yaş 62 (23 -93)
olarak bulundu. 49(% 24) hastada mortalite gelişti. Mortalite gelişen
hastaların ortanca ASA skoru: 4, CCI: 5 ve mortalite gelişmeyen hastaların
ortanca ASA skoru: 3, CCI: 5 idi. Mortalite için ASA skoru istatistiksel olarak
anlamlı bulundu (ASA için p=0,001 ve CCI için p=0,611).

Sonuç: Bu çalışmanın, yüksek riskli hastaların
yönetiminde pratik olarak kullanılabilecek basit ve yararlı veri sağladığına
inanmaktayız. Acil kolorektal cerrahide, mortaliteyi öngörmede ASA skoru hızlı
uygulanabilir ve yeterli bir skorlamadır.

Keywords

Mortalite; acil kolorektal cerrahi; ASA skoru ve CCI

Comparison of American Society of Anesthesiology Classification and Charlson's Comorbidity Index for predicting mortality in emergency colorectal surgery

Abstract

Aim:
We aimed to predict mortality by using preoperative
evaluation scoring systems such as ASA (American Society of Anesthesiologists
Classification) and CCI (Charlson Comorbidity Index), which are easily practicable
in emergency colorectal surgery patients.

Material
and Methods: The data of
198 patients with Emergency Colorectal Surgery (ECS) who applied to Ankara
Numune Training and Research Hospital General Surgery / Emergency Surgery
Clinic of Health Sciences University between January 2014 and December 2017
were retrospectively analyzed. Demographic characteristics, clinical diagnoses,
type of surgery, postoperative complications, comorbidities, ASA and CCI scores
were obtained from electronic databases.

Results:
Of the 198 patients, 95 (47.9%) were female and 103
(52.1%) were male. The median age was 62 (23 -93). 49 (%24) mortality was seen
in patients. The median ASA score was 4, the CCI was 5 in patients with
mortality; and the median ASA score was 3, CCI was 5 in patients with no
mortality. The ASA score for predicting mortality was found statistically
significant (respectively p value for ASA and CCI; 0.001 and 0.611).

Conclusion: We believe this study provides simple and useful
data that can be used practically in the management of high-risk patients. In
emergency colorectal surgery, ASA score is quickly applicable and adequate score for predicting mortality.

Keywords

mortality, emergent colorectal surgery, ASA scora, CCI

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