VAI TRÒ CỦA THANG ĐIỂM ARISCAT TRONG ĐÁNH GIÁ BIẾN CHỨNG HÔ HẤP HẬU PHẪU

Abstract

complications are a major cause of increased mortality, length of hospital stay, and treatment costs. Despite advances in surgical techniques and perioperative care, postoperative respiratory complications remain a significant issue, occurring in approximately 14% of patients (ranging from 7% to 35%). Preoperative risk assessment is crucial and should be based on comprehensive clinical evaluation. Various risk indices, such as ARISCAT, GUPTA, and AROZULLAH, have been developed to estimate the risk of postoperative respiratory complications. The ARISCAT score is a simple and practical tool for predicting postoperative respiratory complications. Result: Our study included 200 patients, with 106 males (53%) and 94 females (47%). The mean age was 53.69 ± 17.92 years, ranging from 17 to 88 years. Thirty-five patients (17.5%) had underlying medical conditions, with hypertension being the most common (7%), followed by type 2 diabetes (4%) and ischemic heart disease (3.5%). Laparoscopic appendectomy was the most common surgical procedure (42.5%), followed by colorectal surgery (13.5%). Postoperative respiratory complications occurred in 26 patients (13%), with respiratory failure being the most common complication (34.6%). The median ARISCAT score was 11 points, ranging from 0 to 91 points. The distribution of patients by ARISCAT score category was as follows: Low ARISCAT score group(< 26 points): 142 patients (71%); Intermediate ARISCAT score group (26-44 points): 38 patients (19%); High ARISCAT score group: 20 patients (10%). The ARISCAT score had a good predictive value for postoperative respiratory complications, with an area under the curve (AUC) of 84.56% (95% CI: 76.034% - 93.086%). There were significant differences in the incidence of postoperative respiratory complications, duration of mechanical ventilation, length of stay in the post-anesthesia care unit, and length of hospital stay between patients with low and intermediate-high ARISCAT scores. Conclusion: Our study demonstrated that the ARISCAT score is a useful tool for predicting postoperative respiratory complications. The score can help clinicians assess the risk and make informed decisions about patient care.