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Preoperative Score to Predict Postoperative Mortality of Le Manach et al (POSPOM): Subscore for Surgical Procedure

Description

Le Manach et al developed the Preoperative Score to Predict Postoperative Mortality (POSPOM). This can help to identify a patient at greater risk for in-hospital mortality after surgery. The authors are from multiple institutions in Canada, Europe and South Africa.


Patient selection: age >= 18 years undergoing surgery

 

Outcome: in-hospital mortality

 

Components:

(1) subscore for comorbid conditions

(2) subscore for the operative procedure

 

Condition

Points

cardiac surgery

17

ear, nose and throat (ENT)

9

GI, endoscopic

0

GI, major

16

GI, minor

13

gynecologic

6

hepatic, major

15

hepatic, minor

12

interventional cardiorhythmology

8

interventional neuroradiology

17

neurological

15

ophthalmologic

0

orthopedic, arthroplasty and spine

9

orthopedic, multiple trauma

22

orthopedic, other

6

orthopedic, trauma

14

plastic surgery

9

surgery, other

12

thoracic surgery

15

transplant, nonrenal

22

transplant, renal

13

urologic, major

12

urologic, minor

9

vascular, major

16

vascular, minor

13

 

subscore for operative procedures =

= SUM(points for all operative procedures)

 

Interpretation:

• minimum subscore: 0

• maximum subscore for a single surgery: 22

• maximum subscore for multiple procedures: depends on number of procedures


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