Prediction of outcome of anaesthesia in patients over 40 years: A multifactorial risk index
- 1 September 1988
- journal article
- research article
- Published by Wiley in Statistics in Medicine
- Vol. 7 (9) , 947-954
- https://doi.org/10.1002/sim.4780070906
Abstract
The prediction of outcome of anaesthesia in patients over 40 years of age was assessed using a multifactorial index based on current preoperative factors recorded prospectively. The study was conducted using a representative sample of anaesthetizations (except for cardiac surgery) including 517 cases with major complication (occurring during or within 24 hours of anaesthesia) and a one in fifty random sample comprising 1538 cases without complication. A split sample approach was adopted and a logistic regression model was applied to two subsets of similar size. Four preoperative factors were significantly associated with the occurrence of complications: ASA physical status, age, surgical procedure (major/minor) and type (elective/emergency). Goodness-of-fit of the model was assessed using another sample of 332 cases with complication and a different subset of 987 cases without complication. The model fitted the data well (p = 0.15).Keywords
This publication has 19 references indexed in Scilit:
- Complications associated with anaesthesiaa — prospective survey in FranceCanadian Journal of Anesthesia/Journal canadien d'anesthésie, 1986
- Mortality associated with anaesthesiaAnaesthesia, 1982
- Death within 48 hours of anaesthesia at the vancouver general hospitalCanadian Journal of Anesthesia/Journal canadien d'anesthésie, 1980
- DEATH ATTRIBUTABLE TO ANAESTHESIABritish Journal of Anaesthesia, 1978
- The ASA Classification of Physical Status–A RecapitulationAnesthesiology, 1978
- Multifactorial Index of Cardiac Risk in Noncardiac Surgical ProceduresNew England Journal of Medicine, 1977
- Computer Analysis of Postanesthetic DeathsAnesthesiology, 1973
- Separate sample logistic discriminationBiometrika, 1972
- The Risk of AnesthesiaAnesthesiology, 1970
- A STUDY OF THE DEATHS ASSOCIATED WITH ANESTHESIA AND SURGERYAnnals of Surgery, 1954