Surgical_Apgar_Score_SAS_for_Postoperative_Risk v.1
Surgical Apgar Score (SAS) for Postoperative Risk predicts postoperative risk of major complication, including death.
The SAS can be applied to any patient who is postop from major surgery.The SAS can often predict the risk of complication more objectively than clinician gestalt; in one study, it correlated well with admission to an ICU setting (when not initially admitted to an intensive care setting).
A score based on blood loss, heart rate, and blood pressure. The SAS can be applied to any patient who is postop from major surgery. FORMULA Addition of the selected points; points assigned below: FACTS Criteria Value Points Estimated blood loss (mL): >1,000 0 600-1,000 + 1 101-600 + 2 ≤100 + 3 Lowest mean arterial pressure (mmHg): <40 0 40-5 + 1 55-69 + 2 ≥70 + 3 Lowest heart rate (beats / min): >85 0 76-85 + 1 66-75 + 2 56-65 + 3 ≤55 + 4 The Surgical Apgar Score correlates directly with outcome -- the higher the score, the lower the risk of complication.
The apgar score is intended for patients after major/general or vascular operations, except children under age 16 and patients undergoing trauma operation, transplantation operation, vascular access operation, or endoscopic-only procedures.
Gawande, A. A., Kwaan, M. R., Regenbogen, S. E., Lipsitz, S. A., & Zinner, M. J. (2007). An Apgar Score for Surgery. Journal of the American College of Surgeons, 204(2), 201–208. https://doi.org/10.1016/j.jamcollsurg.2006.11.011
OBSERVATION.surgical_apgar_score_sas_for_postoperative_risk.v0, EVALUATION.surgical_apgar_score_sas_for_postoperative_risk.v0
