Lack of Utility of Thoracoscore in Evaluating Fitness for XXXX .

@entity1 @entity26 @entity12463 @entity2 @entity204
BACKGROUND: The thoracic surgery scoring system (Thoracoscore) is a multivariate scoring system with nine parameters used for predicting @entity12463 after thoracic surgery. In clinical practice, the value of the thoracoscore in evaluating the fitness of individual @entity1 for surgery is not clear. OBJECTIVE: The study objective was to evaluate the performance of thoracoscore in evaluating fitness for @entity2 and compare it with cardiopulmonary exercise test (CPEX). METHODS: We retrospectively analysed data over a 2-year period from the CPEX database of @entity1 referred for preoperative assessment prior to @entity2 . RESULTS: Twenty-two @entity1 who had borderline lung function impairment had CPEX to assess fitness for surgery. Fifteen (68%) were deemed fit and went on to have thoracic surgery while 7 (32%) were considered high risk and were turned down. The predicted @entity204 rate based on thoracoscore for @entity1 who had surgery was 3.5    2.8 as compared to 3.4    2.0 for @entity1 who did not have surgery (p > 0.05). The mean peak VO2 (peak @entity26 uptake during CPEX) among those who had surgery was significantly higher than those who did not have surgery (14.2 mL/kg/min versus 10.1 mL/kg/min). There was no correlation of thoracoscore with lung function parameters, duration of hospital stay and peak VO2. CONCLUSIONS: Our study showed that CPEX remains a standard and useful tool for functional assessment prior to @entity2 resection. There is no correlation between thoracoscore and either CPEX or pulmonary function parameters. Thoracoscore should not be used to assess fitness for surgery.
