Surgical APGAR Score and Modified Surgical APGAR Score

NCT04010474 | Completed

• 1 other identifier: 09.05.2017 658
• Study Type: observational
• Target: 308
• Locations: 1 country
• Sites: 1

Brief Summary

In this study we aimed to define a new modified SAS is to predict the incidence of postoperative complication and mortality in major abdominal and orthopedic surgery. We also identify the effectivity of this modified scoring system composed of the duration of operation in addition to the three intraoperative parameters of SAS.

Conditions

Perioperative/Postoperative Complications

Keywords

Complication; Mortality; Modified; Surgical Apgar Score

Outcome Measures

Primary Outcomes (1)

• Comparison of Surgical APGAR Score and Modified Surgical APGAR Score in Predicting Possible Postoperative Complications in Major Surgery

  Operation time should be included as a simple, objective and practical indication of the SAS risk score in the major operations in our study including a single-center, prospective 308 case study, as it can be seen as an independent predictor of postoperative mortality and complications.

  01.06.2017 - 30.09.2017

Interventions

Modified Surgical APGAR Score PROCEDURE

Four intraoperative factors 1. Lowest heart rate (HR), 2. Lowest mean arterial pressure (MAP) 3. Estimated blood loss 4. Operation time

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who underwent elective major surgery (Abdominal and Orthopedic surgery) were included (n=308) After the operation modified SAS (mSAS) was calculated by adding the duration of the operation to data used in calculation of the SAS (Table 1.). Observed complications and related conditions were also noted. Table 1. Modified Surgical Apgar Score (mSAS) mSAS 0 1 2 3 4 Estimated blood loss, ml \>1000 601-1000 101-600 ≤100 - Lowest MAP\*, mmHg \<40 40-54 55-69 ≥70 - Lowest HR\*\*, beats per min \>85 76-85 66-75 56-65 ≤55 Time -4 -3 -2 -1 0 Duration of operation (hour) \>8 7.01-8 5.01-7 3.01-5 0-3 \* MAP=Mean arterial pressure

You may qualify if:

• Subject has major surgery
• More than 18 years

You may not qualify if:

• Pregnant
• Younger than 18

Sponsors & Collaborators

• Namigar Turgut: lead

Study Sites (1)

Namigar Turgut

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Postoperative Complications

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Namigar Turgut, Prof.Dr

  University of Health Seciences, Okmeydani Training and Research Hospital

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Prof.Dr

Study Record Dates

• First Submitted: July 3, 2019
• First Posted: July 8, 2019
• Study Start: June 1, 2017
• Primary Completion: September 30, 2017
• Study Completion: October 30, 2017
• Last Updated: July 9, 2019

Record last verified: 2019-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)