Work

Analysis of surgical apgar score combined with ASA classification (SASA) score in ICU and non-ICU patients following intra-abdominal surgery

Year: 2025

Type: article

Abstract: Background: Identifying high-risk patients for intensive care unit (ICU) admission after intra-abdominal surgery is crucial, especially in resource-limited settings. This study evaluates the predictive accuracy of the surgical apgar score combined with ASA classification (SASA) for ICU admission within 48 hours. Methods: A retrospective cohort of 242 patients (24 ICU admissions, 9.9%) was analyzed, with a mean age of 58.25 years (standard deviation = 15.41) and 137 males (56.6%). The performance of SAS and SASA was assessed using ROC curve and calibration analysis. Results: SASA outperformed SAS (area under the receiver operating characteristic [auROC]: 0.9483 vs. 0.8772). An optimal SASA cutoff score of 13 provided 83.33% sensitivity and 94.95% specificity for ICU admission. ASA classification, open abdominal surgery, operative duration, hemodynamic instability, and blood loss were significant ICU predictors (p < 0.001). Conclusion: SASA demonstrates superior predictive accuracy for ICU admission and enhances perioperative risk stratification. Prospective studies are recommended to validate its role in predicting morbidity and mortality.

Source: Electronic Journal of General Medicine

DOI: 10.29333/ejgm/16621

Authors: Kulsiri Bumrungchatudom, Rebecca Chavez, Weeratian Tawanwongsri, Siwatus Puangrab

Institutions: Bamrasnaradura Infectious Diseases Institute, Walailak University

Language: English

Topic: Cardiac, Anesthesia and Surgical Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4412476949