Key result
A Surgical Apgar Score ≤4 significantly predicted postoperative pulmonary (P=0.008) and cardiac complications (P=0.042), and the need for blood transfusion (P=0.03) in hip fracture patients.
Why the study?
The study was conducted to assess the utility and validation of the Surgical Apgar Score (SAS) in predicting postoperative complications of hip fractures.
Does the Surgical Apgar Score predict postoperative complications in patients undergoing surgery for hip fractures?
Observational
No
Does the Surgical Apgar Score predict postoperative complications in patients undergoing surgery for hip fractures?
p-value: p=0.008
The Surgical Apgar Score is a useful tool for predicting postoperative pulmonary and cardiac complications in patients undergoing hip fracture surgery.
SAS may aid postoperative risk stratification in hip fracture surgery; leaves open need for larger prospective validation before clinical adoption.
Objective: To assess the utility and validation of the Surgical Apgar Score (SAS) in predicting postoperative complications of hip fractures. Methods: This prospective observational study included patients who received operations for hip fractures from 1st March 2017 to 30th June 2018 at the Department of Orthopedic Surgery, Liaquat National Hospital and Medical College. Patients were followed at the outpatient department, and complications and mortality were recorded through phone calls. The predictability of SAS for postoperative complications was assessed. Results: SAS≤4 was found as a significant predictor for postoperative pulmonary ( P =0.008) and cardiac complications ( P =0.042) as well as blood transfusion required to optimize postoperative hemoglobin ( P =0.03) in the patients with hip fractures. Conclusions: SAS provides reliable feedback information about patients' postoperative risk during the surgery. Hip fracture patients with scores≤4 should be monitored for major complications both during the hospital admission and after the discharge.
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Haroon et al. (2021) conducted an observational in Hip fractures. Surgical Apgar Score (SAS) ≤4 was evaluated on Postoperative pulmonary complications (p=0.008). A Surgical Apgar Score ≤4 significantly predicted postoperative pulmonary (P=0.008) and cardiac complications (P=0.042), and the need for blood transfusion (P=0.03) in hip fracture patients.
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