The Association Francaise de Chirurgie (AFC) developed a colorectal index for predicting postoperative mortality following colorectal surgery. The authors are from Hopital Nord and Universite de Picardie in Amiens, France.
Patient selection: adult undergoing colorectal resection (for diverticulitis, cancer, etc)
Parameters:
(1) age of the patient in years
(2) timing of the surgery
(3) weight loss during the past 6 months in percent
(4) neurological comorbidity (stroke, Parkinson's disease, dementia, other)
|
Parameter |
Finding |
Points |
|
age of the patient in years |
<= 70 years of age |
0 |
|
|
> 70 years of age |
1 |
|
timing of the surgery |
non-emergent |
0 |
|
|
emergency |
1 |
|
weight loss |
none or <= 10% |
0 |
|
|
> 10% |
1 |
|
neurologic comorbidity |
none |
0 |
|
|
present |
1 |
prognostic index =
= SUM(points for the 4 parameters)
Interpretation:
• minimum index: 0
• maximum index: 4
• The higher the index the greater the mortality rate.
|
Index |
Mortality |
|
0 |
< 1% |
|
1 |
1 to 5% |
|
2 |
7 to 15% |
|
3 or 4 |
33 to 50% |
Purpose: To predict the postoperative mortality rate for an adult undergoing colorectal surgery using the AFC Index.
Specialty: Anesthesiology
Objective: severity, prognosis, stage, complication detection
ICD-10: C18, C19, K50-K52, K55-K63,
