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