Mini Review
Volume 6 Issue 2 - 2020
Identifying the High-Risk Surgical Patients with Scoring Systems: A Mini Review
Sirma M Tilev1, Emre Özer2, Hanife Şeyda Ülgür3 and Ömer F Özkan3*
1Department of Pediatric Surgery, Zeynep Kamil Maternity and Children’s Diseases Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
2Department of Plastic Surgery, Yeditepe University Medical School, Istanbul, Turkey
3Department of General Surgery, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
*Corresponding Author: Ömer F Özkan, Department of General Surgery, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Received: November 16, 2019; Published: January 30, 2020


The number of surgical procedures performed increases each year. Advances in anaesthetic and postoperative care have decreased the rate of perioperative mortality and morbidity in recent years, limiting it to a group of high-risk patients, who became crucial to identify preoperatively to properly prepare for the operation and aftercare. The aim of this review is to discuss the methods for identifying high-risk surgical patients.

There are various scoring systems used around the globe for identification of high-risk surgical patients. American Society of Anaesthesiologists’ Physical Status (ASA-PS) classification, Revised Cardiac Risk Index (RCRI) and American College of Surgeons’ National Surgical Quality Improvement Program Risk Calculators (ACS-NSQIP) are three of the most widely used scoring methods. They consider the preoperative data of the patients, while Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) and its modification, P-POSSUM score take into account both preoperative and discharge data to predict high risk of mortality. The latter two are validated in three continents, which allows for their wider use.

In the last twenty years, many scoring systems to predict high-risk surgical patients have been developed and validated for use around the world. They will continue to improve for routine use and all algorithms will be stand on evidence-based medicine to ameliorate the management and treatment of such patients.

Keywords: Scoring Systems; ASA-PS; RCRI; ACS-NSQIP; POSSUM


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Citation: Ömer F Özkan., et al. “Identifying the High-Risk Surgical Patients with Scoring Systems: A Mini Review”. EC Anaesthesia 6.2 (2020): 01-03.

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