000K utf8 1100 $c2019 1500 eng 2050 urn:nbn:de:gbv:8-mods-2020-00470-0 2051 10.3390/jcm8101666 3000 Iden, Timo 3010 Caliebe, Amke 3010 Gruenewald, Matthias 3010 Hertz, Maj-Britt 3010 Höcker, Jan 3010 Renner, Jochen 3010 Steinfath, Markus 3010 Suvanto-Scholz, Päivi 3010 Weiler, Norbert 4000 The Extended Postoperative Care-Score (EXPO-Score)-An Objective Tool for Early Identification of Indication for Extended Postoperative Care [Iden, Timo] 4209 Extended postoperative care and intensive care unit capacity is limited and efficient patient allocation is mandatory. This study aims to develop an effective yet simple score to predict indication for extended postoperative care, as there is a lack of objective criteria for early prediction of admission to extended care in surgical patients. This prospective observational study was divided into two periods (Period 1: Extended Postoperative Care-Score (EXPO)-Score generation; Period 2: EXPO-Score validation) and it was performed at a tertiary university center in Germany. A total of 4042 (Period 1) and 2198 (Period 2) adult patients ≥ 18 years old receiving elective or emergency surgery were included in this study. After identifying patient- and surgery-related risk factors by an expert panel, the EXPO-Score was developed through logistic regression from data of Period 1 and validated in Period 2. Three risk factors are sufficient for generating a reliable predictive EXPO-Score: (1) the American Society of Anesthesiologists' (ASA) physical status, (2) cardiopulmonary physical exercise status expressed in metabolic equivalents (MET), and (3) the type of surgery. The score threshold (0.23) has a sensitivity of 0.87, a specificity of 0.91, and an accuracy of 0.90 for predicting indication for extended postoperative care. The EXPO-Score provides a validated, early collectable, and easy-to-use tool for predicting indication of extended postoperative care in adult surgical patients. 4950 https://doi.org/10.3390/jcm8101666$xR$3Volltext$534 4950 https://nbn-resolving.org/urn:nbn:de:gbv:8-mods-2020-00470-0$xR$3Volltext$534 4961 https://macau.uni-kiel.de/receive/macau_mods_00000884 5051 610 5550 Extended Postoperative Care 5550 Icu Bed Shortage 5550 intensive care unit 5550 Objective Allocation 5550 Patient Pathway 5550 Patient Safety 5550 Risk Score