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Perioperative Mortality After Pancreatectomy: A Simple Risk Score

Joshua S. Hill MD, Jessica P. Simons MD, Sing Chau Ng MS, Shimul A Shah, Zheng Zhou MD PhD and Jennifer F. Tseng MD MPH   

 Presented at the Pancreas Club 43rd Annual Meeting, Chicago
May 30, 2009 

 

Step 1. Calculate Charlson comorbidity score
Indicate "yes" for the comorbidities that the patient has. This validated algorithm (Charlson, ME et al. J Chron Dis 1987; 40(5):373-83.) assigns a point value to the various diseases. The patient's raw score will then be reassigned into the collapsed Charlson score groups for use in the risk score calculation. Group 1 is a score of zero, Group 2 is a score of 1, Group 3 is a score of 2, and Group 4 is a score of 3 or higher.  

Comorbidity

Points
AIDS   
Cerebrovascular Disease   
Chronic Pulmonary Disease   
Congestive Heart Failure   
Connective Tissue/Rheumatic Disease   
Dementia   
Diabetes Without End Organ Damage   
Diabetes With End Organ Damage   
Hemiplegia   
Liver Disease Mild to Moderate   
Liver Disease Severe   
Myocardial Infarction   
Peripheral Vascular Disease   
Renal Disease   
Ulcer Disease   
 
Charlson Score

 

Step 2. Calculate the risk score, including the Charlson group.
Patient age, Charlson score group, planned procedure type, gender, and the hospital volume of the hospital are indicated.  The point values are assigned accordingly to yield an additive score.  By clicking on the "Calculate Estimated Mortality" button, this score is then assigned to the appropriate risk score group, and the mortality for that group is displayed.

Factor

Level

Point Value
Age Group     
Charlson Group
Gender     
Pre-Operative Diagnosis     
Pancreatectomy Type    
Hospital Volume     
 
 

 

Figure1. Estimated Mortality Risk by score groups 

 

Dr Hill Risk Score

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10/28/2015: We are happy to announce the first issue of the Department of Surgery newsletter. This is a bi-monthly publication that highlights what we are working on, new news, research projects as well as upcoming changes. We will have interviews, articles and upcoming events in every issue.

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