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March 7, 20262 citations

Comparative Evaluation of Risk Scores for Predicting Postoperative Pulmonary Complications.

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WZWenting ZhangYGYingying GaoSLShengfang Li

Key Result

In critically ill Chinese surgical patients, LAS VEGAS score had the best but limited predictive performance for postoperative pulmonary complications.

Key Points

  • This research aims to evaluate the effectiveness of various risk scores in predicting postoperative pulmonary complications in critically ill surgical patients.
  • Compared LAS VEGAS, ARISCAT, and CHI-BPRI risk scores
  • Assessed predictive performance in critically ill Chinese surgical subjects
  • Analyzed the discriminative power of each score
  • No score achieved strong discriminative power for predicting postoperative pulmonary complications
  • LAS VEGAS score showed the best performance among the evaluated scores
  • Findings suggest the need for better prediction tools tailored to this patient population

Structured PICO

Do the LAS VEGAS, ARISCAT, and CHI-BPRI scores accurately predict postoperative pulmonary complications in critically ill Chinese surgical subjects?

P
Population
Critically ill Chinese surgical subjects
I
Intervention
LAS VEGAS, ARISCAT, and CHI-BPRI risk scores
O
Outcome
Postoperative pulmonary complications (PPCs)

Existing risk scores (LAS VEGAS, ARISCAT, CHI-BPRI) have limited predictive power for postoperative pulmonary complications in critically ill Chinese surgical patients, highlighting the need for population-specific tools.

Abstract

In critically ill Chinese surgical subjects, the LAS VEGAS, ARISCAT, and CHI-BPRI scores had limited predictive performance for PPCs, and none of the scores achieved strong discriminative power. Among these, the LAS VEGAS score performed best and may offer modest utility for early risk identification. These findings underscore the need for improved, population-specific prediction tools tailored to the unique risk profiles of critically ill surgical patients.

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Cite This Study

Zhang et al. (2026) studied this question. In critically ill Chinese surgical patients, LAS VEGAS score had the best but limited predictive performance for postoperative pulmonary complications.

synapsesocial.com/papers/69abc2075af8044f7a4eb3d8https://doi.org/10.1177/19433654261424879
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