Usefulness of the Surgical Apgar Score to Predict the Occurrence of Major Complications in the Early Post-Operative Period of Major Surgeries: Experience of Two Second-Category Hospitals in Cameroon  

作　　者：Charles Emmanuel Toussaint Binam Bikoi Francis Ateba Ndongo Serge Vivier Nga Nomo Édouard Léa Mekoui Ze Fidèle Binam Charles Emmanuel Toussaint Binam Bikoi;Francis Ateba Ndongo;Serge Vivier Nga Nomo;Édouard Léa Mekoui Ze;Fidèle Binam(Department of Anesthesia and Intensive Care, University of Ebolowa, Ebolowa, Cameroon;Yaounde Mother and Child Center, Chantal Biya Foundation, University of Garoua, Garoua, Cameroon;Department of Anesthesia and Intensive Care, Catholic University of Central Africa, Yaounde, Cameroon)

机构地区：[1]Department of Anesthesia and Intensive Care, University of Ebolowa, Ebolowa, Cameroon [2]Yaounde Mother and Child Center, Chantal Biya Foundation, University of Garoua, Garoua, Cameroon [3]Department of Anesthesia and Intensive Care, Catholic University of Central Africa, Yaounde, Cameroon

出　　处：《Open Journal of Anesthesiology》2024年第3期51-65,共15页麻醉学期刊（英文）

摘　　要：Objective: The Surgical Apgar Score (SAS) is a tool for intraoperative stratification of the risk of serious complications in the early postoperative period. It varies from 0 to 10 points divided into three risk categories (0 to 4 high, 5 to 7 moderate, 8 to 10 low). The aim of the study was to evaluate its relevance in predicting the appearance of these complications. Material and methods: This descriptive and analytical study was carried out at the “Laquintinie” Hospital in Douala and at the Central Hospital in Yaounde, Cameroon. The main data were collected on a population of patients over 18 years old and recorded on a survey form. They consisted of variables of main interest and exposure variables. Univariate and multivariate statistical analysis using top-down logistic regression models made it possible to evaluate the association of each variable of main interest and each exposure variable. The association was significant at P Results: Of the 88 patients studied, the SAS was 3 hours. In multivariate, this link persisted only and strongly for the SAS OR (IC) 0.1 (0.1 - 0.2) and p = 000. Conclusion: The study found a specific and powerful link between the SAS score < 4 and the occurrence of complications in the early postoperative period, in favor of its relevance in predicting them.Objective: The Surgical Apgar Score (SAS) is a tool for intraoperative stratification of the risk of serious complications in the early postoperative period. It varies from 0 to 10 points divided into three risk categories (0 to 4 high, 5 to 7 moderate, 8 to 10 low). The aim of the study was to evaluate its relevance in predicting the appearance of these complications. Material and methods: This descriptive and analytical study was carried out at the “Laquintinie” Hospital in Douala and at the Central Hospital in Yaounde, Cameroon. The main data were collected on a population of patients over 18 years old and recorded on a survey form. They consisted of variables of main interest and exposure variables. Univariate and multivariate statistical analysis using top-down logistic regression models made it possible to evaluate the association of each variable of main interest and each exposure variable. The association was significant at P Results: Of the 88 patients studied, the SAS was 3 hours. In multivariate, this link persisted only and strongly for the SAS OR (IC) 0.1 (0.1 - 0.2) and p = 000. Conclusion: The study found a specific and powerful link between the SAS score < 4 and the occurrence of complications in the early postoperative period, in favor of its relevance in predicting them.

关 键 词：Early Postoperative Complications Major Surgeries Surgical Apgar Score 

分 类 号：R47[医药卫生—护理学]