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| 1 | Risk-adjustment in hepatobiliarypancreatic surgery显示文摘AIM: The present study evaluates the performance of the POSSUM, the American Society of Anesthetists (ASA),APACHE and Childs classification in predicting mortality and morbidity in hepatopancreaticobiliary (HPB) surgery.We describe especially the limitations and advantages of risk in stratifying the patients.METHODS: We investigated 177 randomly chosen patients undergoing eledive complex HPB surgery in a single institution with a total of 71 pre-operative and intra-operative risk factors.Primary endpoint was in-hospital mortality and morbidity.Ordered logistic regression analysis was used to identify individual predictors of operative morbidity and mortality.RESULTS: The operative mortality in the series was 3.95% .This compared well with the p-POSSUM and APACHE predicted mortality of 4.31% and 4.29% respectively. Postoperative complications amounted to 45% with 24 (13.6%)patients having a major adverse event. On multivariate analysis the pre-operative POSSUM physiological score (OR = 1.18,P = 0.009) was superior in predicting complications compared to the ASA (P = 0.108), APACHE (P = 0.117)or Childs classification (P = 0.136). In addition, serum sodium, creatinine, international normalized ratio (INR),pulse rate, and intra-operative blood loss were independent risk factors. A combination of the POSSUM variables and INR offered the optimal combination of risk factors for risk prognostication in HPB surgery.CONCLUSION: Morbidity for elective HPB surgery can be accurately predicted and applied in everyday surgical practice as an adjunct in the process of informed consent and for effective allocation of resources for intensive and high-dependency care facilities. | Hemant M Kocher Paris P Tekkis Palepu Gopal Ameet G Patel Simon Cottam Irving S Benjamin | 2005 | World Journal of Gastroenterology2005，11，16： | 3 |
| 2 | Diabetes and cardiovascular disease: a statement for healthcare professionals from the American Heart Association显示文摘 | GRUNDY S M BENJAMIN I J BURKE G L | 1999 | Circulation1999，100，10： | 1 |
| 3 | Radiative Heating Rates for Saharan Dust 显示文摘 | Carlson T N S G Benjamin | 1980 | J Atmos Sci1980，37，1： | 1 |
| 4 | Adsorption of natural organic matter (NOM) on iron oxide: Effects on NOM composition and formation of organo-halide compounds during chlorination显示文摘 | Korshin G V Benjamin M M Sletten R S | 1997 | Water Research1997，31，7： | 1 |
| 5 | The evolution of the mesoseale enviromnent of severe h>eal storms:Preliminary modeling results显示文摘 | ANTHES R A KUO Y H BENJAMIN S G | 1982 | Mon Wea Rev1982，110，： | 1 |
| 6 | Performance of different soil model configurations in simulating ground surface temperature and surface fluxes 显示文摘 | Smimova T G Brown J M Benjamin S G | 1997 | Monthly Weather Review1997，125，8： | 1 |
| 7 | Vector for Pop-In/Pop-Out Gene Replacement in Pichia pastoris 显示文摘 | JON S BROOKE J B BENJAMIN S G | 2001 | BioTechniques2001，31，： | 1 |
| 8 | An hourly assimilation-forecast cycle:The RUC显示文摘 | Benjamin S G Devenyi D Weygandt S S | 2004 | Mon Wea Rev2004，132，： | 1 |
| 9 | An hourly assimilation forecast cycle: The RUC 显示文摘 | Benjamin G S | 2004 | Monthly Weather Review2004，132，2： | 1 |
| 10 | Masoscale weather prediction with the RUC hybrid isentropic/terrain -following coordinate medel显示文摘 | Benjamin S G Grell G A Brown J M | 2004 | Man Wea Rev2004，132，： | 1 |
| 11 | The use of ion implantation in a comparison of the thermal oxidation of titanium and zirconium显示文摘 | DEARNALEY G BENJAMIN J D MILLER W S | 1976 | Corrosion Science1976，16，： | 1 |
| 12 | Performance of different soil model configurations in simulating ground surface temperature and surface fluxes 显示文摘 | Smirnova T G Brown J M Benjamin S G et ai | 1997 | Mon Wea Rev1997，125，： | 1 |
| 13 | Adsorption of natural organic matter (NOM) on iron oxide: effects on NOM composition and formation of organo-halide compounds during chlorination显示文摘 | Korshin G V Benjamin M M Sletteh R S | 1997 | Water Research1997，31，7： | 1 |
| 14 | Short-Range Forecast Impact from Assimilation of GPS-IPW Observations into the Rapid Update Cycle显示文摘 | Smith T L Benjamin S G Gutman S I | 2007 | Mon Wea Rev2007，135，： | 1 |
| 15 | Parameterization of cold season processes in the MAPS land- surface scheme 显示文摘 | Smirnova T G Brown J M Benjamin S G | 2000 | J Geophys Res2000，105，3： | 1 |
| 16 | Alterations in intestinal permeability and blood flow in a new model of mesenteric ischemia显示文摘 | BENJAMIN I S ENGELBRECHT G H | 1992 | Circ Shock1992，36，： | 1 |
| 17 | A Framework for Evaluating Digital Library Services显示文摘 | Choudhury G S Benjamin H Mark L | 2002 | D-Lib Magazine2002，8，78： | 1 |
| 18 | An hourly assimilation-forecast cycle:The RUC显示文摘 | Benjamin S G Devenyi D Weygandt S S | 2004 | Mon Wea Rev2004，132，： | 1 |
| 19 | Mass transportation, apartment rent and property values显示文摘 | BENJAMIN J D SIRMANS G S | 1996 | The Journal of Real Estate Research1996，12，1： | 1 |
| 20 | Long - term culture and cloning of nontranaformed human B lymphocyles 显示文摘 | Benjamin S Donna G S Shunichi K | 1981 | J Exp Med1981，54，： | 1 |
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