|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Risk-adjustment in hepatobiliarypancreatic surgery显示文摘AIM: The present study evaluates the performance of the POSSUM, the American Society of Anesthetists (ASA),APACHE and Childs classification in predicting mortality and morbidity in hepatopancreaticobiliary (HPB) surgery.We describe especially the limitations and advantages of risk in stratifying the patients.METHODS: We investigated 177 randomly chosen patients undergoing eledive complex HPB surgery in a single institution with a total of 71 pre-operative and intra-operative risk factors.Primary endpoint was in-hospital mortality and morbidity.Ordered logistic regression analysis was used to identify individual predictors of operative morbidity and mortality.RESULTS: The operative mortality in the series was 3.95% .This compared well with the p-POSSUM and APACHE predicted mortality of 4.31% and 4.29% respectively. Postoperative complications amounted to 45% with 24 (13.6%)patients having a major adverse event. On multivariate analysis the pre-operative POSSUM physiological score (OR = 1.18,P = 0.009) was superior in predicting complications compared to the ASA (P = 0.108), APACHE (P = 0.117)or Childs classification (P = 0.136). In addition, serum sodium, creatinine, international normalized ratio (INR),pulse rate, and intra-operative blood loss were independent risk factors. A combination of the POSSUM variables and INR offered the optimal combination of risk factors for risk prognostication in HPB surgery.CONCLUSION: Morbidity for elective HPB surgery can be accurately predicted and applied in everyday surgical practice as an adjunct in the process of informed consent and for effective allocation of resources for intensive and high-dependency care facilities. | Hemant M Kocher Paris P Tekkis Palepu Gopal Ameet G Patel Simon Cottam Irving S Benjamin | 2005 | World Journal of Gastroenterology2005，11，16： | 3 |
| 2 | Diagnosis and treatment of juvenile nasopharyngeal angiofibroma显示文摘 | Paris JM Guelfucci B Moulin G | 2001 | Eur Arch Otorhino laryngol2001，258，3： | 1 |
| 3 | Deficits in saccadic eye-movement control in Parkinson's disease 显示文摘 | Chan F Armstrong IT Pari G Riopelle P J Munoz DE 2005 | 2005 | Neuropsychologia2005，43，： | 1 |
| 4 | HistCite: A software tool for infonnetric analysis of eitation linkage显示文摘 | Garfield Eugene Paris Soren W Stock Wolfgang G | 2006 | Information Wissenschaft & Praxis2006，57，8： | 1 |
| 5 | Luminescent solar concentration using urany-doped silicate glasses 显示文摘 | Folcher G Keller N Paris J | 1984 | Sol Energy Mater1984，10，： | 1 |
| 6 | Regulation of the Autophag-ic Bcl-2/Beclinl Interaction 显示文摘 | Decuypere JP Parys JB Buhynck G | 2012 | Cells2012，1，3： | 1 |
| 7 | Risk factors for hepatoeellular carcinoma in patients with alcoholic or viral C eirrhosis显示文摘 | N kontchou G Paries J Htar MT | 2006 | Clin Gastroenterol Hepatol2006，4，8： | 1 |
| 8 | Neural networks for multiuser detection in CDMA communication显示文摘 | Aazhang B Orsak G | 1992 | IEEE Trans1992，40，1： | 1 |
| 9 | Channel Order Estimation via Sample Sorting显示文摘 | Wood S G Paris B P Nelson J K | 2011 | IEEE Trans on Signal Processing2011，45，2： | 1 |
| 10 | Density-functional description of the electronic structure of LaMO3 ( M = Sc, Ti, Cr,, Mn, Fe, Co, Ni) 显示文摘 | Pari G Mathbi S Jaya | 1995 | Physical Review B1995，51，16： | 1 |
| 11 | Distribution of Dissolved and Colloidal Substances in the Forming and Press Sections of A Paper Machine 显示文摘 | Donat V Van DeVen T G M Paris J | 2003 | Journal of Pulp and Paper Science2003，29，9： | 1 |
| 12 | Predictors of insulin regimens and impact on outcomes in youth with type 1 diabetes: the SEARCH for Diabetes in Youth study显示文摘 | Paris CA Imperatore G Klingensmith G | 2009 | J Pediatr2009，155，： | 1 |
| 13 | Blunt chest injuries in 1696 patient s显示文摘 | Galan G Penalver JC Paris F | | 0，，06： | 1 |
| 14 | Regulation of theautophagic bcl-2/beclin 1 interaction显示文摘 | Decuypere JP Parys JB Bultynck G | 2012 | Cells2012，1，3： | 1 |
| 15 | The effect of remifentanil on cerebral blood flow velocity显示文摘 | Paris A Scholz J von Knobelsdorff G | 1998 | Anesth Analg1998，87，3： | 1 |
| 16 | SANS investigation of phase separation in hot-deformed Nimonic 80a显示文摘 | TIAN Bao-hui Paris O Zickler G A | 2002 | Scipta Materialia2002，47，1： | 1 |
| 17 | Oocyte apoptosis is suppressed by disruption of the acid sphingomyelinase gene or by sphingosine-1-phoshate therapy显示文摘 | Morita L Perez G I Paris F | 2000 | Nature Med2000，，6： | 1 |
| 18 | Blunt chest injuries in 1696 patients 显示文摘 | Galan G Penalver JC Paris F er al | 1992 | Eur J Cardiothorac Surg1992，6，： | 1 |
| 19 | Blunt chest injuries in1696 patients显示文摘 | Galan G Penalver JC Paris F | 1992 | Eur J Cardiothorac Surg1992，6，6： | 1 |
| 20 | Diagnosis and treatment of juvenile nasopharyngeal angiofibroma显示文摘 | Paris J Guelfucci B Moulin G | 2001 | Eur Arch Otorhinolaryngol2001，258，3： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员