Surgical APGAR Score and Modified Surgical APGAR Score

Comparison of Surgical APGAR Score and Modified Surgical APGAR Score in Predicting Possible Postoperative Complications in Major Surgery

In this study we aimed to define a new modified SAS is to predict the incidence of postoperative complication and mortality in major abdominal and orthopedic surgery. We also identify the effectivity of this modified scoring system composed of the duration of operation in addition to the three intraoperative parameters of SAS.

Study Overview

• Status: Completed
• Conditions: Perioperative/Postoperative Complications
• Intervention / Treatment: Procedure: Modified Surgical APGAR Score

• Study Type: Observational
• Enrollment (Actual): 308

Contacts and Locations

Study Locations

• Turkey
  • Istanbul, Turkey
    • Namigar Turgut

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients who underwent elective major surgery (Abdominal and Orthopedic surgery) were included (n=308)

After the operation modified SAS (mSAS) was calculated by adding the duration of the operation to data used in calculation of the SAS (Table 1.).

Observed complications and related conditions were also noted.

Table 1. Modified Surgical Apgar Score (mSAS)

mSAS 0 1 2 3 4

Estimated blood loss, ml >1000 601-1000 101-600 ≤100 -

Lowest MAP*, mmHg <40 40-54 55-69 ≥70 -

Lowest HR**, beats per min >85 76-85 66-75 56-65 ≤55

Time -4 -3 -2 -1 0

Duration of operation (hour) >8 7.01-8 5.01-7 3.01-5 0-3

* MAP=Mean arterial pressure

Description

Inclusion Criteria:

• Subject has major surgery
• More than 18 years

Exclusion Criteria:

• Pregnant
• Younger than 18

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Comparison of Surgical APGAR Score and Modified Surgical APGAR Score in Predicting Possible Postoperative Complications in Major Surgery	Operation time should be included as a simple, objective and practical indication of the SAS risk score in the major operations in our study including a single-center, prospective 308 case study, as it can be seen as an independent predictor of postoperative mortality and complications.	01.06.2017 - 30.09.2017

Collaborators and Investigators

• Sponsor: Namigar Turgut
• Investigators: Study Director: Namigar Turgut, Prof.Dr, University of Health Seciences, Okmeydani Training and Research Hospital

Study record dates

Study Major Dates

• Study Start (Actual): June 1, 2017
• Primary Completion (Actual): September 30, 2017
• Study Completion (Actual): October 30, 2017

Study Registration Dates

• First Submitted: July 3, 2019
• First Submitted That Met QC Criteria: July 3, 2019
• First Posted (Actual): July 8, 2019

Study Record Updates

• Last Update Posted (Actual): July 9, 2019
• Last Update Submitted That Met QC Criteria: July 8, 2019
• Last Verified: July 1, 2019

More Information

Terms related to this study

• Keywords: Mortality; Complication; Modified; Surgical Apgar Score
• Additional Relevant MeSH Terms: Pathologic Processes; Postoperative Complications
• Other Study ID Numbers: 09.05.2017 658

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No