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Date Published: 02/12/2025
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DOI: https://doi.org/10.51298/vmj.v556i1.16253
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Vol. 556 No. 1 (2025)
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Phan, T. T. H., & Vũ, H. P. (2025). THE PREDICTIVE VALUE OF THE ARISCAT SCORE FOR POSTOPERATIVE RESPIRATORY COMPLICATIONS FOLLOWING MAJOR GASTROINTESTINAL SURGERY. Vietnam Medical Journal, 556(1). https://doi.org/10.51298/vmj.v556i1.16253

THE PREDICTIVE VALUE OF THE ARISCAT SCORE FOR POSTOPERATIVE RESPIRATORY COMPLICATIONS FOLLOWING MAJOR GASTROINTESTINAL SURGERY

Thị Thanh Huệ Phan, Hoàng Phương Vũ

Main Article Content

Abstract

Objective: To stratify the risk of postoperative respiratory complications using the ARISCAT scoring system and to evaluate its prognostic value in major gastrointestinal surgeries within the Vietnamese clinical context. Methods: A prospective observational study was conducted from January 2025 to June 2025, involving 180 patients who met the inclusion criteria. Results: Patients classified as low-risk (ARISCAT <26 points) exhibited a postoperative respiratory complication rate of only 6.2%. In contrast, the moderate-risk group (ARISCAT 26–44 points) and high-risk group (ARISCAT >44 points) demonstrated complication rates of 16.4% and 30.9%, respectively. The ROC curve assessing the predictive value of the ARISCAT total score for in-hospital postoperative pulmonary complications yielded an area under the curve (AUC) of 0.77 (95% CI: 0.68–0.86), with statistical significance (p < 0.05). Conclusion: The ARISCAT scoring system demonstrates strong capability in both risk stratification and prognostication of postoperative respiratory complications in patients undergoing major abdominal surgery.

Article Details

Keywords

postoperative respiratory complications, ARISCAT score, risk stratification, prognostic value.

References

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