Prediction of Complications After Pancreaticoduodenectomy: Validation of a Postoperative Complication Score.

Details

Serval ID
serval:BIB_4A0DB13A337D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Prediction of Complications After Pancreaticoduodenectomy: Validation of a Postoperative Complication Score.
Journal
Pancreas
Author(s)
Joliat G.R., Petermann D., Demartines N., Schäfer M.
ISSN
1536-4828 (Electronic)
ISSN-L
0885-3177
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
44
Number
8
Pages
1323-1328
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
OBJECTIVES: Pancreatic surgery remains associated with important morbidity. Efforts are most commonly concentrated on decreasing postoperative morbidity, but early detection of patients at risk could be another valuable strategy. A simple prognostic score has recently been published. This study aimed to validate this score and discuss possible clinical implications.
METHODS: From 2000 to 2012, 245 patients underwent a pancreaticoduodenectomy. Complications were graded according to the Dindo-Clavien Classification. The Braga score is based on American Society of Anesthesiologists score, pancreatic texture, Wirsung duct diameter, and blood loss. An overall risk score (0-15) can be calculated for each patient. Score discriminant power was calculated using a receiver operating characteristic curve.
RESULTS: Major complications occurred in 31% of patients compared with 17% in Braga's data. Pancreatic texture and blood loss were independently statistically significant for increased morbidity. Areas under the curve were 0.95 and 0.99 for 4-risk categories and for individual scores, respectively.
CONCLUSIONS: The Braga score discriminates well between minor and major complications. Our validation suggests that it can be used as a prognostic tool for major complications after pancreaticoduodenectomy. The clinical implications, that is, whether postoperative treatment strategies should be adapted according to the patient's individual risk, remain to be elucidated.
Pubmed
Web of science
Create date
17/11/2015 17:20
Last modification date
20/08/2019 13:57
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