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Evaluation of the utility of the Estimation of Physiologic Ability and Surgical Stress score for predicting post-operative morbidity after orthopaedic surgery

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Abstract

Purpose

The purpose of this study was to investigate the utility of the Estimation of Physiologic Ability and Surgical Stress (E-PASS) scoring system for predicting post-operative morbidity.

Methods

We included 1,883 patients (mean age, 52.1 years) who underwent orthopaedic surgery. The post-operative complications were classified as surgical site and non-surgical site complications, and the relationship between the E-PASS scores and post-operative morbidity was investigated.

Results

The incidence of post-operative complications (n = 274) significantly increased with an increase in E-PASS scores (p < 0.001). The areas under the curve for the comprehensive risk score of the E-PASS scoring system for overall and non-surgical site complications were 0.777 and 0.794, respectively.

Conclusions

The E-PASS scoring system showed some utility in predicting post-operative morbidity after general orthopaedic surgery. However, creating a new risk score that is more suitable for orthopaedic surgery will be challenging.

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Conflicts of interest

The authors have no proprietary or commercial interest in any materials discussed in this study.

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This study did not receive any financial support.

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Correspondence to Jun Hirose.

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Nagata, T., Hirose, J., Nakamura, T. et al. Evaluation of the utility of the Estimation of Physiologic Ability and Surgical Stress score for predicting post-operative morbidity after orthopaedic surgery. International Orthopaedics (SICOT) 39, 2167–2172 (2015). https://doi.org/10.1007/s00264-015-2993-2

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  • DOI: https://doi.org/10.1007/s00264-015-2993-2

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