Comparison of Markers for Prediction of Postoperative Pulmonary Complications; Asa and Ariscat

Abstract

Purpose: Pulmonary complications are important causes of morbidity and mortality that may occur after surgery. The aim of this study is to investigate the predictive value of American Society of Anesthesiologist (ASA) and The Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) risk scoring systems in determining the risk of pulmonary complications during the postoperative period. Materials and Methods: After obtaining ethics committee approval, 246 patients who were undergone elective operations between April 2019 - October 2019 in Ahi Evran University Department of Orthopedics and Traumatology were enrolled in the study. Gender, age and ASA clinical classification of all cases were recorded. Concommittant systemic diseases and types of surgery were recorded. ARISCAT risk index of all patients was calculated. In addition, postoperative pulmonary complications (PPC) such as atelectasis, pneumonia and respiratory failure seen within 1 month postoperatively were recorded as well. Results: PPC developed in 15 (6.09%) cases. If we compare ASA and ARISCAT risk scoring system, ARISCAT appears to be more effective to predict the risk of PPC, but no statistically significant difference was found. Conclusion: Although ASA score can be used for evaluating health state of patients subjectively at preoperative period, ARISCAT risk index could also be used for prediction of postoperative pulmonary complications.

Keywords

• asa
• ariscat
• preoperative evaluation