Predicting outcome in XXXX : a prospective study of 100 consecutive cases.

@entity1 @entity12463 @entity1755
OBJECTIVES: Case selection for surgery in @entity1 presenting with @entity1755 ( @entity1755 ) is often difficult. A previous retrospective review identified five pre-operative risk factors associated with mortality [J Vasc Surg 23 (1996) 123]. In this study we aimed to identify whether these criteria could be usefully applied prospectively in @entity1 presenting with @entity1755 . METHODS: All @entity1 presenting with @entity1755 from October 2000 to December 2002 were included. The criteria were recorded with the time they were available and the time surgery commenced. The decision to operate was made on clinical grounds and no @entity1 was refused surgery on the basis of these criteria. RESULTS: One hundred consecutive @entity1 were studied, median age 75 (range 54-94). The @entity12463 was 32.9% (26/79 @entity1 ). Surgical mortality increased with the number of positive criteria and was 8% (2/24), 24% (7/29), 55% (11/20) and 100% (6/6) for scores, 0, 1, 2 and > or =3, respectively. Age and conscious level were available in every @entity1 . However, an ECG, haemoglobin and creatinine results were only available in 94, 81, and 69%, respectively. CONCLUSIONS: The scoring system accurately predicted @entity12463 . The score was available in the majority of cases and may help the surgeon give informed consent to @entity1 and relatives prior to surgical intervention.
