Developing and validating subjective and objective risk-assessment measures for predicting mortality after major surgery: An international prospective cohort study.

ABSTRACT:

Background

Preoperative risk prediction is important for guiding clinical decision-making and resource allocation. Clinicians frequently rely solely on their own clinical judgement for risk prediction rather than objective measures. We aimed to compare the accuracy of freely available objective surgical risk tools with subjective clinical assessment in predicting 30-day mortality.

Methods and findings

We conducted a prospective observational study in 274 hospitals in the United Kingdom (UK), Australia, and New Zealand. For 1 week in 2017, prospective risk, surgical, and outcome data were collected on all adults aged 18 years and over undergoing surgery requiring at least a 1-night stay in hospital. Recruitment bias was avoided through an ethical waiver to patient consent; a

SUBMITTER: Wong DJN 

PROVIDER: S-EPMC7561094 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature