Key result
Higher E-PASS scores linked to increased morbidity, mortality, longer stays, and costs after thoracic surgery.
Why the study?
The usefulness of the E-PASS scoring system to predict postoperative morbidity and mortality in thoracic surgery patients was not established.
Does the E-PASS scoring system predict postoperative morbidity and mortality in patients undergoing thoracic surgery?
Cohort (n=740)
Does the E-PASS scoring system predict postoperative morbidity and mortality in patients undergoing thoracic surgery?
The E-PASS scoring system may be a useful tool for predicting postoperative morbidity, mortality, length of stay, and costs in patients undergoing thoracic surgery.
May aid risk stratification in thoracic surgery; leaves open prospective validation before routine clinical use.
OBJECTIVE: When a new scoring system, 'E-PASS', standing for the Estimation of Physiologic Ability and Surgical Stress that predicts the postoperative surgical risk by quantification of the patient's reserve and surgical stress applied to a population of general thoracic surgery patients, it should be investigated if this system could help us or not. METHODS: The comprehensive risk score (CRS) of the E-PASS and the clinical course were evaluated retrospectively in 282 consecutive patients with primary lung cancer (group A), and in 458 patients who underwent elective thoracic operations (group B). RESULTS: The morbidity and mortality rates in both group A and group B increased as the CRS increased. The CRS correlated significantly with the morbidity score, length of stay and cost of hospitalization. CONCLUSIONS: E-PASS scoring system may be useful in surgical decision-making and evaluating quality of care in patients who are tolerable for lung resection.
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Yamashita et al. (2004) conducted a cohort in Primary lung cancer and elective thoracic operations (n=740). E-PASS comprehensive risk score (CRS) was evaluated on Morbidity and mortality rates, morbidity score, length of stay, and cost of hospitalization. Higher E-PASS comprehensive risk scores were significantly associated with increased morbidity and mortality rates, longer length of stay, and higher hospitalization costs in thoracic surgery patients.
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