Surabaya Scoring System for a Early Mortality After Surgery for Colorectal Cancer

Description

Hartono and Lesmana reported the Surabaya scoring system to predict 30-day mortality following surgery for colorectal cancer. This can help to identify a patient who may benefit from more aggressive management. The authors are from Universitas Airlangga in Surabaya, Indonesia.

Patient selection: colorectal cancer

Outcome: 30-day mortality

Parameters:

(1) serum albumin in g/dL

(2) heart rate in beats per minute

(3) functional status

(4) ascites

(5) magnitude of operative procedure

(6) dyspnea

(7) hemoglobin in g/dL

Parameter	Finding	Points
serum albumin	>= 3.4 g/dL	0
	< 3.4 g/dL	8
heart rate	<= 120 beats per minute	0
	> 120 beats per minute	7
functional status	fully dependent	6
	partially dependent	2
	independent	0
ascites	no	0
	yes	4
operative procedure	minor	0
	major	2
dyspnea	no	0
	yes	2
hemoglobin	>= 10 g/dL	0
	< 10 /dL	1

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 30 (paper says 32 but this requires scoring both fully and partially dependent)

• The optimum cutoff point is >= 5.5.

Total Score	30-Day Mortality
0 to 2	3-5%
3 to 6	7-12%
7 to 10	19-23%
11	28%
12 or 13	35-40%
14 to 18	67 to 83%
>= 19	100%

Performance:

• The area under the ROC curve is 0.83.

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Surabaya Scoring System for a Early Mortality After Surgery for Colorectal Cancer

Description

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