Predicting Postoperative Morbidity Of Patients Operated On By Dynamic Apache Ⅱ Scoring

Objective To study using the APACHE Ⅱ scoring to predict morbidiy in the department of hepatobiliary surgery.Methods ①Record the dynamic APACHE Ⅱ scores in the 108 patients during the perioperative period and analyze the relation with morbidity. ②Record the patients with SIRS or capital operations, analyze their relations with the dynamic APACHE Ⅱ score or postoperative complications.Results ①The mean APACHE Ⅱ score on the 1st day after operation was the highest; the second highest score was found on the 3rd day; and the mean score of the 7th day went down obviously. There was an obvious positive correlation between the ranges of APACHE Ⅱ scores and postoperative morbidity(P<0. 001). ㏕here was an obvious correlation between occurrence of SIRS and postoperative morbidity and the ranges of APACHE FJ scores. The morbidity rate in the SIRS group was significantly higher than the non-SIRS group (P<0. 01), but the range of APACHE II score in the SIRS group was wider than the non-SIRS group (P<0. 001). ㏕here was an obvious correlation between the types of operating and postoperative morbidity and the ranges of APACHE H scores and SIRS. The morbidity rate of the captical operation group was higher than the median or simple operation group(P<0. 01) , its range of APACHE FJ score was wider (P<0. 01), and its occurrence rate of SIRS was significantly higher (P<0. 01).Conclusions ㏕here was an obvious positive correlation between the ranges of A-PACHE rj scores and postoperative morbidity. Thus, the APACHE FJ score may be a useful tool for predicting postoperative morbidity earlier and stratifying patients into various risk groups. When the range ^7, a higher motality (2^50. 0%) was found. ㏕he patients with SIRS or capital operations should be given the more intensive observation by using dynamic APACHE FJ scoring.