Description

Ragulin-Coyne et al reported a score for predicting perioperative mortality after pancreatectomy. This can help to identify a patient who may benefit from more aggressive management. The authors are from the University of Massachusetts and Beth Israel Deaconess Medical Center.


Patient selection: pancreatectomy

 

Parameters:

(1) sex

(2) age in years

(3) Charlson score

(4) diagnosis

(5) pancreatectomy type

(6) hospital volume for pancreatectomy

 

Parameter

Finding

Points

sex

female

0

 

male

1

age

< 60 years

0

 

60 to 79 years

3

 

>= 80 years

7

Charlson score

0

0

 

1

1

 

2

3

 

>= 3

5

diagnosis

carcinoma

4

 

benign disease

0

 

metastatic disease

5

 

pancreatitis

6

 

cancer NOS

2

pancreatectomy type

proximal

3

 

distal

0

 

not specified

5

hospital volume

<= 8 per year

6

 

9 to 32 per year

4

 

> 32 per year

0

 

score =

= SUM(points for all 6 parameters)

 

Interpretation:

ª minimum score: 0

• maximum score: 30

The higher the score the greater the risk of mortality.

 

percent mortality =

= (0.0030479 * ((score)^3)) - (0.037425 * ((score)^2)) + (0.27228 * (score)) + 0.35655


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