O-POSSUM and P-POSSUM as predictors of morbidity and mortality in older patients after hip fracture surgery: a meta-analysis

被引:2
|
作者
Yang, Guangyao [1 ]
Cui, Guofeng [2 ]
Liu, Youwen [1 ]
Guo, Jiayi [1 ]
Yue, Chen [1 ]
机构
[1] Luoyang Orthoped Hosp Henan Prov, Orthoped Hosp Henan Prov, Dept Orthoped, Luoyang 471000, Henan, Peoples R China
[2] Zhengzhou Univ, Luoyang Cent Hosp, Dept Orthoped, Luoyang 471002, Henan, Peoples R China
基金
中国国家自然科学基金;
关键词
POSSUM; Hip fracture; Older patients; Morbidity; Mortality; SCORING SYSTEM; POSTOPERATIVE MORTALITY; NECK; VALIDATION; OUTCOMES;
D O I
10.1007/s00402-023-04897-9
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
BackgroundThe POSSUM model has been widely used to predict morbidity and mortality after general surgery. Modified versions known as O-POSSUM and P-POSSUM have been used extensively in orthopedic surgery, but their accuracy is unclear. This systematic review evaluated the predictive value of these models in older patients with hip fractures.MethodsThis study was performed and reported based on the "Preferred reporting items for systematic reviews and meta-analyses" guidelines. PubMed, Cochrane, EMBASE, and Web of Science were comprehensively searched for relevant studies, whose methodological quality was evaluated according to the "Methodological index for non-randomized studies" scale. Revman 5 was used to calculate weighted ratios of observed to expected morbidity or mortality.ResultsThe meta-analysis included 10 studies, of which nine (2549 patients) assessed the ability of O-POSSUM to predict postoperative morbidity, nine (3649 patients) assessed the ability of O-POSSUM to predict postoperative mortality, and four (1794 patients) assessed the ability of P-POSSUM to predict postoperative mortality. The corresponding weighted ratios of observed to expected morbidity or mortality were 0.84 (95% CI 0.70-1.00), 0.68 (95% CI 0.49-0.95), and 0.61 (95% CI 0.16-2.38).ConclusionsWhile O-POSSUM shows reasonable accuracy in predicting postoperative morbidity in older patients with hip fractures, both P-POSSUM and O-POSSUM substantially overestimate postoperative mortality. The POSSUM model should be optimized further for this patient population.
引用
收藏
页码:6837 / 6847
页数:11
相关论文
共 50 条
  • [31] The statistical importance of P-POSSUM scores for predicting mortality after emergency laparotomy in geriatric patients
    Yang Cao
    Gary A. Bass
    Rebecka Ahl
    Arvid Pourlotfi
    Håkan Geijer
    Scott Montgomery
    Shahin Mohseni
    BMC Medical Informatics and Decision Making, 20
  • [32] Application of Portsmouth modification of physiological and operative severity scoring system for enumeration of morbidity and mortality (P-POSSUM) in pancreatic surgery
    Appou Tamijmarane
    Chandra S Bhati
    Darius F Mirza
    Simon R Bramhall
    David A Mayer
    Stephen J Wigmore
    John AC Buckels
    World Journal of Surgical Oncology, 6
  • [33] P-POSSUM and the NELA Score Overpredict Mortality for Laparoscopic Emergency Bowel Surgery: An Analysis of the NELA Database
    Alexander R. Darbyshire
    Ina Kostakis
    Philip H. Pucher
    David Prytherch
    Stuart J. Mercer
    World Journal of Surgery, 2022, 46 : 552 - 560
  • [34] Prediction of 30-day mortality after emergency surgery for colorectal perforation Validation of the Portsmouth and colorectal physiologic and operative severity scoring systems for the enumeration of mortality and morbidity (P-POSSUM and Cr-POSSUM)
    Abe, Tomoyuki
    Shirabe, Ken
    Harimoto, Norifumi
    Gion, Tomonobu
    Nagaie, Takashi
    Kajiyama, Kiyoshi
    EUROPEAN SURGERY-ACTA CHIRURGICA AUSTRIACA, 2017, 49 (02): : 89 - 94
  • [35] P-POSSUM and the NELA Score Overpredict Mortality for Laparoscopic Emergency Bowel Surgery: An Analysis of the NELA Database
    Darbyshire, Alexander R.
    Kostakis, Ina
    Pucher, Philip H.
    Prytherch, David
    Mercer, Stuart J.
    WORLD JOURNAL OF SURGERY, 2022, 46 (03) : 552 - 560
  • [36] Perioperative mortality and morbidity prediction using POSSUM, P-POSSUM and APACHE II in Chinese gastric cancer patients: surgical method is a key independent factor affecting prognosis
    Yantian Fang
    Chunhsien Wu
    Xiaodong Gu
    Zhengyang Li
    Jianbin Xiang
    Zongyou Chen
    International Journal of Clinical Oncology, 2014, 19 : 74 - 80
  • [37] Perioperative mortality and morbidity prediction using POSSUM, P-POSSUM and APACHE II in Chinese gastric cancer patients: surgical method is a key independent factor affecting prognosis
    Fang, Yantian
    Wu, Chunhsien
    Gu, Xiaodong
    Li, Zhengyang
    Xiang, Jianbin
    Chen, Zongyou
    INTERNATIONAL JOURNAL OF CLINICAL ONCOLOGY, 2014, 19 (01) : 74 - 80
  • [38] Use of the Portsmouth Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity ('P-POSSUM') to predict morbidity in patients undergoing surgery with reconstruction for temporal bone malignancy
    Jones, H.
    Gendre, A.
    McHugh, A.
    Hintze, J.
    O'Sullivan, B.
    Martin, F.
    McConn-Walsh, R.
    O'Neill, J. P.
    Shine, N.
    JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2022, 136 (12): : 1271 - 1274
  • [39] Prospective Evaluation of In-hospital Mortality with the P-POSSUM Scoring System in Patients Undergoing Major Digestive Surgery
    Merad, Fethi
    Baron, Gabriel
    Pasquet, Blandine
    Hennet, Henry
    Kohlmann, Gerard
    Warlin, Fred
    Desrousseaux, Bruno
    Fingerhut, Abe
    Ravaud, Philippe
    Hay, Jean-Marie
    WORLD JOURNAL OF SURGERY, 2012, 36 (10) : 2320 - 2327
  • [40] Prospective Evaluation of In-hospital Mortality with the P-POSSUM Scoring System in Patients Undergoing Major Digestive Surgery
    Féthi Merad
    Gabriel Baron
    Blandine Pasquet
    Henry Hennet
    Gérard Kohlmann
    Fred Warlin
    Bruno Desrousseaux
    Abe Fingerhut
    Philippe Ravaud
    Jean-Marie Hay
    World Journal of Surgery, 2012, 36 : 2320 - 2327