Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/85
Full metadata record
DC FieldValueLanguage
dc.contributor.authorAchuthan, S.*
dc.contributor.authorSmirk, A.*
dc.contributor.authorKeeble, A.*
dc.contributor.authorLeslie, Kate*
dc.date.accessioned2012-11-12T04:11:18Zen
dc.date.available2012-11-12T04:11:18Zen
dc.date.issued2011en
dc.identifier.govdoc00071en
dc.identifier.issn0310-057Xen
dc.identifier.urihttp://hdl.handle.net/11054/85en
dc.description.abstractThe perioperative mortality score aims to predict mortality in elderly patients undergoing noncardiac surgery using three preoperative risk factors (age, albumin and American Society of Anesthesiologists physical status) and then modify this risk assessment if any of three postoperative complications occur (unplanned intensive care unit admission, systemic inflammation and acute renal failure). In order to determine the cost of routine perioperative mortality score calculation in future research, we audited the incidence of clinician-initiated preoperative albumin, pre- and postoperative creatinine and postoperative white cell count testing in patients aged > or = 70 years presenting for elective and emergency noncardiac surgery requiring at least overnight admission over a three-month period. We recruited 637 noncardiac surgical patients. All laboratory tests required for perioperative mortality score calculation were performed in only 47% of patients and the total cost of testing all untested patients was A$12,057 (A$18,927 per 1000 patients). Preoperative hypoalbuminaemia was present in 11% of tested patients, acute renal impairment in 24% of tested patients and high white cell count in 33% of tested patients. These results may be used to inform future research or clinical use of the score.en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2012-11-12T04:11:18Z (GMT) No. of bitstreams: 0en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2012-11-12T04:11:07ZNo. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2012-11-12T04:11:18Z (GMT). No. of bitstreams: 0 Previous issue date: 2011en
dc.publisherAustralian Society of Anaesthetists.en
dc.relation.urihttp://www.aaic.net.au/Document/?D=20100634en
dc.titlePerioperative mortality score: data collection and cost.en
dc.typeJournal Articleen
dc.type.specifiedArticleen
dc.bibliographicCitation.titleAnaesthesia and Intensive Careen
dc.bibliographicCitation.volume39en
dc.bibliographicCitation.issue2en
dc.bibliographicCitation.stpage274en
dc.bibliographicCitation.endpage278en
dc.publisher.placeEdgecliff, NSW.en
dc.subject.healththesaurusHOSPITAL ECONOMICSen
dc.subject.healththesaurusINTENSIVE CARE STATISTICS & NUMERICAL DATAen
dc.subject.healththesaurusMORTALITYen
dc.subject.healththesaurusPREOPERATIVE PERIODen
dc.subject.healththesaurusSURGICAL PROCEDURES - OPERATIVE MORTALITYen
dc.date.issuedbrowse2011-01-01en
Appears in Collections:Research Output

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.