ArticleAnesthesia and analgesia2013
The surgical Apgar score is strongly associated with intensive care unit admission after high-risk intraabdominal surgery.
Article in Anesthesia and analgesia, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Ability to predict surgical outcomes by surgical Apgar score: a systematic review.BMC surgery · 2023Pooled it
- Article
- Impact of clinical frailty on surgical and non-surgical complications after major emergency abdominal surgery.BJS open · 2024Article
- Surgical Apgar Score can accurately predict the severity of post-operative complications following emergency laparotomy.BMC surgery · 2023Article
- Implementing Bundle Care in Major Abdominal Emergency Surgery: Long-Term Mortality and Comprehensive Complication Index.World journal of surgery · 2023Article
- Surgical Apgar score as a predictor of outcomes in patients following laparotomy at Mulago National Referral Hospital, Uganda: a prospective cohort study.BMC surgery · 2022Observational
- The Surgical Apgar Score: A Systematic Review of Its Discriminatory Performance.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Review
- Surgical Apgar score is strongly associated with postoperative ICU admission.Scientific reports · 2021Article
- Combining ALT/AST Values with Surgical APGAR Score Improves Prediction of Major Complications after Hepatectomy.Journal of surgery and research · 2021Article
- Nomogram to Predict Intensive Care Following Gastrectomy for Gastric Cancer: A Useful Clinical Tool to Guide the Decision-Making of Intensive Care Unit Admission.Frontiers in oncology · 2021Article
- Detecting Major Complications and Death After Emergency Abdominal Surgery Using the Surgical Apgar Score: A Retrospective Analysis in a Caribbean Setting.Turkish journal of anaesthesiology and reanimation · 2019Article
- Development and Validation of the Nursing Home Minimum Data Set 3.0 Mortality Risk Score (MRS3).The journals of gerontology. Series A, Biological sciences and medical sciences · 2019Article
- The Reliability of Surgical Apgar Score in Predicting Immediate and Late Postoperative Morbidity and Mortality: A Narrative Review.Rambam Maimonides medical journal · 2018Review
- Adapting the Surgical Apgar Score for Perioperative Outcome Prediction in Liver Transplantation: A Retrospective Study.Transplantation direct · 2017Article
- Preoperative and surgical factors associated with postoperative intensive care unit admission following operative treatment for degenerative lumbar spine disease.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016Article
- Comparison of Risk Scoring Systems to Predict the Outcome in ASA-PS V Patients Undergoing Surgery: A Retrospective Cohort Study.Medicine · 2016Observational
- [Perioperative risk and mortality after major surgery].Der Anaesthesist · 2015Review
- The surgical apgar score predicts postoperative ICU admission.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Article
- A composite index for predicting readmission following emergency general surgery.The journal of trauma and acute care surgery · 2014Article
- Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundUnderstanding intensive care unit (ICU) triage decisions for high-risk surgical patients may ultimately facilitate resource allocation and improve outcomes. The surgical Apgar score (SAS) is a simple score that uses intraoperative information on hemodynamics and blood loss to predict postoperative morbidity and mortality, with lower scores associated with worse outcomes. We hypothesized that the SAS would be associated with the decision to admit a patient to the ICU postoperatively.
methodsWe performed a retrospective cohort study of adults undergoing major intraabdominal surgery from 2003 to 2010 at an academic medical center. We calculated the SAS (0-10) for each patient based on intraoperative heart rate, mean arterial blood pressure, and estimated blood loss. Using logistic regression, we assessed the association of the SAS with the decision to admit a patient directly to the ICU after surgery.
resultsThe cohort consisted of 8501 patients, with 72.7% having an SAS of 7 to 10 and <5% an SAS of 0 to 4. A total of 8.7% of patients were transferred immediately to the ICU postoperatively. After multivariate adjustment, there was a strong association between the SAS and the decision to admit a patient to the ICU (adjusted odds ratio 14.41 [95% confidence interval {CI}, 6.88-30.19, P < 0.001] for SAS 0-2, 4.42 [95% CI, 3.19-6.13, P < 0.001] for SAS 3-4, and 2.60 [95% CI, 2.08-3.24, P < 0.001] for SAS 5-6 compared with SAS 7-8).
conclusionsThe SAS is strongly associated with clinical decisions regarding immediate ICU admission after high-risk intraabdominal surgery. These results provide an initial step toward understanding whether intraoperative hemodynamics and blood loss influence ICU triage for postsurgical patients.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.