Key result
The SASA scoring system strongly predicted 30-day postoperative mortality, with the risk of death increasing by an odds ratio of 9.56 for every 4-point decrease in the score (AUC 0.87).
Why the study?
Does the SASA score improve the prediction of postoperative 30-day mortality compared to sAs or ASA-PS alone in patients undergoing non-cardiac surgery?
Population
24,318 patients aged >16 years who underwent surgery under general or regional anesthesia, mean age 55.2…
Comparison
SASA vs sAs alone and ASA-PS alone
Design
Cohort
Follow-up
30 days
Authors
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May enable rapid bedside mortality risk assessment at anesthesia end; hypothesis-generating pending external validation and outcome trials.
Cohort (n=24,318)
No
Does the SASA score improve the prediction of postoperative 30-day mortality compared to sAs or ASA-PS alone in patients undergoing non-cardiac surgery?
Odds Ratio: 9.56 (95% CI 7.52–12.16)
p-value: p=<0.001
The SASA score, combining the surgical Apgar score and ASA physical status, provides a highly valid and simple method for predicting 30-day mortality after non-cardiac surgery.
Kinoshita et al. (2016) conducted a cohort in Patients undergoing surgery under general or regional anesthesia (n=24,318). Surgical Apgar score combined with ASA-PS (SASA) vs. sAs and ASA-PS alone was evaluated on Postoperative 30-day mortality (OR 9.56, 95% CI 7.52-12.16, p=<0.001). The SASA scoring system strongly predicted 30-day postoperative mortality, with the risk of death increasing by an odds ratio of 9.56 for every 4-point decrease in the score (AUC 0.87).
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