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Comparison of surgical outcome using the prediction scoring system of E-PASS for thoracic surgery

Authors
  • Yamashita, Shin-ichi1
  • Haga, Yoshio1
  • Nemoto, Etsuo2
  • Imanishi, Naoko3
  • Ohta, Morio4
  • Kawahara, Katsunobu5
  • 1 Kumamoto Medical Center, Department of Surgery, National Hospital Organization, 1-5 Ninomaru, Kumamoto, 860-0008, Japan , Kumamoto (Japan)
  • 2 Minamiyokohama Hospital, Department of Surgery, National Hospital Organization, Yokohama, Japan , Yokohama (Japan)
  • 3 Himeji Medical Center, Department of Thoracic Surgery, National Hospital Organization, Himeji, Japan , Himeji (Japan)
  • 4 Okinawa Hospital, Department of Surgery, National Hospital Organization, Okinawa, Japan , Okinawa (Japan)
  • 5 Oita University Faculty of Medicine, Department of Surgery II, Oita, Japan , Oita (Japan)
Type
Published Article
Journal
The Japanese Journal of Thoracic and Cardiovascular Surgery
Publisher
Springer-Verlag
Publication Date
Sep 01, 2006
Volume
54
Issue
9
Pages
391–395
Identifiers
DOI: 10.1007/s11748-006-0018-1
Source
Springer Nature
Keywords
License
Yellow

Abstract

ObjectiveThe purpose of this study was to determine if our predictive scoring system, E-PASS, can estimate the surgical outcome.MethodsWe conducted a multicenter cohort study for 3 years in four national hospitals. A consecutive series of 731 patients who underwent elective thoracic operations were analyzed. The preoperative risk score (PRS) and the comprehensive risk score (CRS) of the E-PASS were determined preoperatively and immediately after the operation, respectively. The cost of the surgical admission and the severity of the postoperative complications were recorded at the time of discharge.ResultsThe CRS significantly correlated with the severity of the postoperative complications (rs = 0.728, P < 0.0001) and the charge (rs = 0.530, P < 0.0001). When the estimated/real morbidity ratio (MR) among the hospitals was compared, it varied from 0.16 to 0.59. A significant increase in the cost was observed according to the CRS.ConclusionThe E-PASS scoring system may be useful for standardizing the patient population and surgical severity to compare the surgical outcome.

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