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Postoperative Morbidity Survey (PMS) of Bennett-Guerrero et al

Description

Bennett-Guerrero et al reported the Postoperative Morbidity Survey (PMS) for evaluating patients following surgery. These be used to monitor a patient for complications after surgery. The authors are from Mount Sinai Medical Center, Duke University and University College London.


Patient selection: routine elective surgery of moderate risk

 

Organ System

Criteria

pulmonary

de novo respiratory support (supplemental oxygen, CPAP, mechanical ventilation)

infectious

antibiotic therapy or temperature > 38°C in the last 24 hours

renal

oliguria (< 500 mL per day); serum creatinine > 1.3 times preoperative concentration; urinary catheter in place for nonsurgical reason

gastrointestinal tract

unable to tolerate an enteral diet for any reason

cardiovascular

diagnostic testing or therapy within the past 24 hours for: de novo myocardial infarction or ischemia, hypotension, atrial or ventricular arrhythmia, or cardiogenic pulmonary edema

neurological

de novo focal deficit, coma, confusion or delirium

wound complication

wound dehiscence requiring surgical exploration; drainage of pus from the operative wound

hematological

required transfusion of blood products (red blood cells, platelets, fresh-frozen plasma, cryoprecipitate) within the last 24 hours

pain

severe wound pain requiring parenteral opioids or regional anesethesia

 

number of postoperative morbidities =

= SUM(number of organ systems affected)

 

Interpretation:

• minimum number: 0

• maximum number: 9


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