Evaluation of P-POSSUM scoring system in predicting mortality in patients with hip joint arthroplasty / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 50-55, 2006.
Article
in En
| WPRIM
| ID: wpr-280938
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the applicability of Porthsmouth modified physiological and operative severity score for the enumeration of mortality and morbidity (P-POSSUM) in predicting the mortality of the patients undergoing hip joint arthroplasty.</p><p><b>METHODS</b>A total of 141 patients (75 males and 66 females, aged 63.22 years+/-14.45 years on an average) undergoing hip joint arthroplasty during January 2002 and March 2005 were studied retrospectively with P-POSSUM. Their average physiological score and operative severity score were 17.48+/-5.16 and 12.43+/-3.05, respectively. The predicted postoperative mortality with P-POSSUM was compared with the observed value. Subgroup analysis was performed to investigate the predictive capability of P-POSSUM. POSSUM scoring system was used as the control.</p><p><b>RESULTS</b>Three patients died after operation in this study actually. The average physiological scores were 32.33+/-9.87 in the death group and 17.16+/-4.56 in the survival group. The former was obviously higher than the latter, which showed statistical difference between the two groups (Wilcoxon rank sum test, P<0.05). Perfect agreement was found between the observed death number and the predicted death number calculated by P-POSSUM (Cochran-Mantel-Haenszel chi(2) test, P>0.05), though POSSUM overestimated the overall mortality.</p><p><b>CONCLUSIONS</b>P-POSSUM can predict the mortality accurately in the patients undergoing hip joint arthroplasty, which is superior to POSSUM.</p>
Full text:
1
Index:
WPRIM
Main subject:
Severity of Illness Index
/
Chi-Square Distribution
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Predictive Value of Tests
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Mortality
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Arthroplasty, Replacement, Hip
Type of study:
Prognostic_studies
Limits:
Aged
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Aged80
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Female
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Humans
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Male
Language:
En
Journal:
Chinese Journal of Traumatology
Year:
2006
Type:
Article