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Risk Factors of Manceau et al for 30-Day Mortality After Emergency Surgery for Obstructing Colon Cancer

Description

Manceau et al identified risk factors for 30-day mortality for a patient undergoing emergency surgery for obstructing colon cancer. These can help to identify a patient who may require more aggressive management. The authors are from multiple institutions in France and were associated with the French Surgical Association.


Patient selection: emergency surgery for obstructing colon cancer

 

Parameters:

(1) age in years

(2) ASA status

(3) pulmonary comorbidity

(4) right-sided cancer

(5) hemodynamic failure

 

Parameter

Finding

Points

age in years

< 75 years

0

 

>= 75 years

1

ASA status

I or II

0

 

III, IV or V

1

pulmonary comorbidity

no

0

 

yes

1

right-sided cancer

no

0

 

yes

1

hemodynamic failure

no

0

 

yes

1

 

total score=

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 5

 

Score

OR 30-Day Mortality

0

1

1

3.4

2

5.8

3

15.7

4

29.3

5

77.3

 

Performance:

• The discriminating capacity for predicting mortality was 0.80.


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