AHMET CAM, ELZEM SEN
Annals of Clinical and Analytical Medicine - 2024;15(11):739-742
Aim: We aimed to investigate the effectiveness of the American Society of Anesthesiologists (ASA), Charlson Age-added Comorbidity Index (CACI) and Surgical Risk Result Tool (SORT) scoring systems in determining postoperative intensive care requirements in patients undergoing gynecological malignancy surgery. Material and methods: Our study was carried out retrospectively examining the hospital records of patients who underwent gynecological malignancy surgery. Two groups were formed with the data obtained from the patients’ records in the preoperative and postoperative periods. Group 1: ICU indicated before the surgery and postoperatively ICU follow up needed. Group 2: ICU indicated but postoperatively ICU follow up was not needed. Age, gender, ASA Scoring, smoking, type of surgery, and co-morbid diseases of the patients included in the groups were noted in detail. SORT and CACI scores’ results were recorded by entering patient data electronically. Results: Age, comorbidity and smoking usage were found to be risk factors in determining the need for postoperative intensive care in patients undergoing general anesthesia. ASA score, SORT score, CACI score were found to be statistically significant in predicting intensive care admission. The efficiency of SORT and CACI was evaluated by ROC analysis and AUC was found to be 0.886 and 0.855, respectively. Discussion: We think that the CACI and SORT scores can be useful in determining the postoperative ICU need in daily clinical practice.
