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Critical Care |

New Surgical Apgar Score Correlates With Complications in Surgical Patients

Timothy Darnauer*, DO; Gerard Baltazar, DO; Krishna Akella, BA; Stephanie Kanitsch, MS; Amira Shafey, MS; Akella Chendrasekhar, MD
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Wyckoff Heights Medical Center, Brooklyn, NY


Chest. 2012;142(4_MeetingAbstracts):378A. doi:10.1378/chest.1389172
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Abstract

SESSION TYPE: ICU Safety and Quality Posters

PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM

PURPOSE: Virginia Apgar developed a scoring system to identify infants at risk for complications. Surgical Apgar score is a newly developed simple scoring system, which allows for identification of surgical patients at risk for complications. Length of hospital stay has been used as a surrogate marker for development of complications. We hypothesized that the surgical Apgar score correlates better for surgical complications than the ASA score.

METHODS: Surgical Apgar score uses blood loss, lowest MAP, and lowest heart rate as parameters to calculate a value between 0-10. We evaluated 249 patients for demographic data (age/BMI/gender/co-morbidities/operation type) as well as Apgar score parameters, complications, hospital length of stay and ASA score. Linear regression analysis was performed comparing Apgar score to ASA score vs. hospital length of stay.

RESULTS: Linear regression analysis of hospital length of stay with Apgar score revealed positive correlation (p = 0.0095, r2 = 0.3) whereas the ASA score also showed correlation with hospital length of stay, however the correlation was not as accurate (p = 0.03, r2 = 0.03). Surgical wound classification failed to correlate with complications.

CONCLUSIONS: Surgical Apgar score provides a simple, more effective marker of at risk patients as compared to ASA score.

CLINICAL IMPLICATIONS: A more widespread use of Apgar score may result in earlier identification of at risk patients and reduction of complications.

DISCLOSURE: The following authors have nothing to disclose: Timothy Darnauer, Gerard Baltazar, Krishna Akella, Stephanie Kanitsch, Amira Shafey, Akella Chendrasekhar

No Product/Research Disclosure Information

Wyckoff Heights Medical Center, Brooklyn, NY

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