ArticleWorld journal of surgery2016
Surgical Apgar Score Predicted Postoperative Morbidity After Esophagectomy for Esophageal Cancer.
Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Predictive role of surgical Apgar score for postoperative complications and survival in patients receiving esophagectomy: a meta-analysis.Journal of cardiothoracic surgery · 2026Pooled it
- Ability to predict surgical outcomes by surgical Apgar score: a systematic review.BMC surgery · 2023Pooled it
- Surgical Apgar score could predict complications after esophagectomy: a systematic review and meta-analysis.Interactive cardiovascular and thoracic surgery · 2022Pooled it
- The effect of enhanced recovery after minimally invasive esophagectomy: a randomized controlled trial.Surgical endoscopy · 2022Trial
- Trial
- Application of the Surgical APGAR Score to Predict Intensive Care Unit Admission and Post-Operative Outcomes in Cesarean Hysterectomy for Placenta Accreta Spectrum.Medicina (Kaunas, Lithuania) · 2025Article
- Combined and intraoperative risk modelling for oesophagectomy: A systematic review.World journal of gastrointestinal surgery · 2023Article
- The Surgical Apgar Score: A Systematic Review of Its Discriminatory Performance.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Review
- Utility of thoracic cage width in assessing surgical difficulty of minimally invasive esophagectomy in left lateral decubitus position.Surgical endoscopy · 2020Article
- An esophagectomy Surgical Apgar Score (eSAS)-based nomogram for predicting major morbidity in patients with esophageal carcinoma.Translational cancer research · 2020Article
- Prediction of perioperative complications after robotic-assisted radical hysterectomy for cervical cancer using the modified surgical Apgar score.BMC cancer · 2018Article
- Clinical usefulness of the surgical Apgar score for estimating short-term and prognostic outcomes after esophagectomy.Journal of thoracic disease · 2018Article
- The Reliability of Surgical Apgar Score in Predicting Immediate and Late Postoperative Morbidity and Mortality: A Narrative Review.Rambam Maimonides medical journal · 2018Review
- Improvement of the Surgical Apgar Score by Addition of Intraoperative Blood Transfusion Among Patients Undergoing Major Gastrointestinal Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016Article
- The value of esophagectomy surgical apgar score (eSAS) in predicting the risk of major morbidity after open esophagectomy.Journal of thoracic disease · 2016Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecently, a simple and easy complication prediction system, the Surgical Apgar Sore (SAS) calculated by three intraoperative parameters (estimated blood loss, lowest mean arterial pressure, and lowest heart rate), has been proposed for general surgery. This study aimed to determine if the SAS could accurately predict perioperative morbidity in patients undergoing esophagectomy for esophageal cancer.
methodsWe investigated 399 patients who underwent esophagectomy at the Kumamoto University Hospital between April 2007 and March 2015. Clinical data, including intraoperative parameters, were collected retrospectively. Patients had postoperative morbidities classified as Clavien-Dindo grade III or more. Univariate and multivariate analyses were performed to elucidate factors that affected the development of complications.
resultsThe mean age of the study population was 65.7 years, 357 patients (89.5 %) were male. The frequency of any morbidity was 32.3 %. Univariate analyses showed that the SAS as well as preoperative chemotherapy, volume of bleeding, and reconstruction of organs were associated with morbidities. Multivariate analysis showed that a SAS < 5 was found to be an independent risk factor for morbidities.
conclusionThe SAS is considered to be useful for predicting the development of postoperative morbidities after esophagectomy for esophageal cancer.
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