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July 31, 2003British journal of surgeryOpen Access

Towards a national clinical minimum data set for general surgery

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Key result

Risk-stratified models using routine clinical data successfully stratified mortality risk into five or more bands for general surgical admissions.

Why the study?

Can effective risk-stratified models of mortality for general surgical admissions be constructed from routine clinical data?

Population

11,263 general surgical admissions

Design

Cohort

Follow-up

until discharge

Authors

DPDavid PrytherchUniversity of PortsmouthJSJ.S. SirlUniversity of PortsmouthPWP C WeaverUniversity of Portsmouth

Discussion

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Implication

Routine data-derived models enable surgical performance monitoring; leaves open prospective validation before widespread adoption.

Study Design

Type

Observational (n=11,263)

Structured PICO

Can effective risk-stratified models of mortality for general surgical admissions be constructed from routine clinical data?

P
Population
11,263 general surgical admissions over 2 years were used to generate mortality risk models, which were then applied prospectively to 3 years of subsequent data.
E
Exposure
Risk stratification models using routine clinical data (urea, haemoglobin, white blood cell count, sodium, potassium, age on admission, sex, BUPA Operative Severity Score)
O
Outcome
Mortality at dischargehard clinical

Effective mortality risk models for general surgical admissions can be constructed using routine clinical data, minimizing data collection burden.

Cite This Study

Prytherch et al. (2003) conducted an observational in General surgical admissions (n=11,263). Risk-stratified models using routine clinical data was evaluated on Mortality at discharge. Risk-stratified models using routine clinical data successfully stratified mortality risk into five or more bands for general surgical admissions.

synapsesocial.com/papers/6a6231a4cd947529a989bb86https://doi.org/10.1002/bjs.4274
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Also Consider

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  1. 1Risk-adjusted analysis of surgeon performance: A 1-year study1995 · 108 citations
  2. 2An evaluation of the POSSUM surgical scoring system1996 · 398 citations
  3. 3Identifying Patient Preoperative Risk Factors and Postoperative Adverse Events in Administrative Databases: Results From The Department of Veterans Affairs National Surgical Quality Improvement Program2002 · 262 citations
  4. 4POSSUM: A scoring system for surgical audit1991 · 1,729 citations
  5. 5Preoperative Serum Albumin Level as a Predictor of Operative Mortality and Morbidity1999 · 1,008 citations