Zorbas et al reported a preoperative score for predicting 30-day mortality following major hepatectomy surgery. The authors are from Bronx Care Health System and University of South Florida.
Patient selection: major hepatectomy
Outcome: 30-day mortality after surgery
Parameters:
(1) preoperative albumin to bilirubin score (ALBI)
(2) congestive heart failure
(3) diabetes mellitus
(4) preoperative functional status
(5) hypertension
(6) age in years
(7) preoperative chronic use of steroids
Parameter
Finding
Points
ALBI
grade 1
0
grade 2 or 3
1
congestive heart failure
no
0
yes
1
diabetes
no
0
yes
1
preop functional status
independent
0
dependent
1
hypertension
no
0
yes
1
age in years
< 65 years
0
>= 65 years
1
preop chronic use steroids
no
0
yes
1
where:
• Grade 2 and 3 ALBI have a linear predictor > -2.6.
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 7
Score
OR 30-Day Mortality
0
1
1
1.7
2
5.1
>= 3
12.5
Performance:
• The area under the ROC curve is 0.73.
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