SURGICAL APGAR SCORE ASSESSMENT AS A MORTALITY PREDICTOR IN HAJI ADAM MALIK HOSPITAL

Muhammad Aripandi Wira; Luwih Bisono; Bastian Lubis

Volume : VIII, Issue : VIII, August - 2019

SURGICAL APGAR SCORE ASSESSMENT AS A MORTALITY PREDICTOR IN HAJI ADAM MALIK HOSPITAL

Muhammad Aripandi Wira, Luwih Bisono, Bastian Lubis

Abstract :

Introduction : Gawande starting to develop scoring system for surgery that can be use to assess patient condition during intraoperative. SAS calculated based on intraoperative parameters lowest MAP, lowest HR, and estimated blood loss. Method : This study is using retrospective cohort in Adam Malik Hospital, Medan. Patient who undergo an abdominal surgery elective with general anesthesia were included in this study. Result : A total of 109 patients studied, age ranged from 18 to 65 years. SAS was significantly associated to predict 30 days mortality post operative (p<0,001). Complications noted in 6 patients with SAS score 0 to 4 and 2 patients with SAS score 5 to 7. Conclusion : Surgical Apgar Score (SAS) is a simple tool that can be use for assessing 30 days predictive mortality post operative patient with general anesthesia.