Mihailov et al reported predictors for mortality after emergency surgery for obstructive colon cancer. These can help to identify a patient who may require more aggressive management. The authors are from multiple institutions in Romania.
Patient selection: emergency surgery for obstructive colon cancer
Predictive factors:
(1) age > 70 years
(2) congestive heart failure
(3) ECOG status 3 or 4
(4) sepsis
(5) obesity or cachexia (counted as 2 in original listing)
(6) elevated serum creatinine
(7) abnormal platelet count
(8) proximal tumor
total score =
= SUM(number of factors present)
Interpretation:
• minimum score: 0
• maximum score: 8
Number of Risk Scores
Risk Category
Mortality Rate
0 to 2
low
0.7%
3
medium
12.5%
4
high
40%
>= 5
very high
84.4%
The score may be referred to as the OCC (obstructive colon cancer) score or the mortality score of the Clinic County Emergency Hospital of Galati (a city in Romania).
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