Soler MCD, Lombardo VTA, Tamargo BTO, de Almeida FBAS, Mezquia PN, Noriega AY

Language: Spanish
References: 13
Page: 1-16
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ABSTRACT

Objective: To make evident the clinical validity of the support system for the prognosis of reoperation in the postoperative period of emergency abdominal surgery.
Methods: An explanatory, observational, cohort, prospective study was conducted from November 2016 to April 2017, with 59 patients who were in the postoperative period of major abdominal surgery and were admitted to the intermediate care units at Miguel Enriquez Surgical Clinical Hospital and in the Intensive Care Unit 8B at Hermanos Ameijeiras" Surgical Clinical Hospital. In order to decide the reoperation, these patients were evaluated according to clinical, laboratory and imaging criteria. Regardless of this evaluation, the probability of requiring reoperation through the aid system was estimated. For analyzing its utility, ROC curve was used and the best cut-off point with validity indicators was selected.
Results: 34% of the patients were reoperated (N= 20). The prognostic system correctly identified 85.7% of the patients that really needed to be reoperated (CI 68.4-100) and ignored 94.7% of the patients that did not need it (CI 86.3-100). The areas under the curve were 0.932 (CI 21-46.8) and 0.902 (CI 0.810-0.993) for reoperation and positive findings, respectively. The cut-off point with better sensitivity and specificity indicators was 0.635 in both cases.
Conclusions: The help system for the reoperation prognosis of proved to have excellent predictive value of the need for reoperation in patients with major abdominal post-surgery. It can be useful in clinical practice.

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