E-ISSN: 2667-6370
Basic Features and Clinical Applicability of ‘Preliminary Universal Surgical Invasiveness Score’ (pUSIS): A Multi-Centre Pilot Study
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Original Article
VOLUME: 45 ISSUE: 1
P: 9-15
February 2017

Basic Features and Clinical Applicability of ‘Preliminary Universal Surgical Invasiveness Score’ (pUSIS): A Multi-Centre Pilot Study

Turk J Anaesthesiol Reanim 2017;45(1):9-15
DOI: 10.5152/TJAR.2017.77785
Peter Biro 1
Luc Sermeus 2
Radmilo Jankovic 3
Nenad Savić 3
Adela Hilda Onuțu 4
Daniela Ionescu 5
Daniela Godoroja 6
Gabriel Gurman 7
1. Institute of Anesthesiology, University Hospital Zurich, Zurich, Switzerland
2. Department of Anesthesiology, Antwerp University Hospital, Edegem, Belgium
3. Department for Anesthesia and Intensive Care, School of Medicine, University of Nis, Nis, Serbia
4. Emergency County Hospital Cluj-Napoca, Orthopedic and Trauma Clinic, Anaesthesia and Intensive Care Department, Cluj-Napoca, Romania
5. Department of Anesthesia and Intensive Care I, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania; Outcomes Research Consortium, Cleveland, Ohio
6. Department of Anesthesia, Ponderas Hospital, Centre of Excellence for Bariatric and Metabolic Surgery, University of Medicine and Pharmacy, Bucharest, Romania
7. Department of Anesthesiology and Critical Care, Ben Gurion University of the Negev, Beer Sheva, Israel
No information available.
No information available
Received Date: 25.10.2016
Accepted Date: 23.12.2016
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ABSTRACT

Objective:

There is still a lack of a universally applicable and comprehensive scoring system for documenting the invasiveness of surgical procedures. The proposed preliminary ‘Universal Surgical Invasiveness Score’ (pUSIS) is intended to fill this gap.

Methods:

We used the recently developed pUSIS to obtain values from 8 types of surgery and 80 individual interventions. The results were analysed using descriptive statistical methods. The degree of difficulty on a scale from 0 (very easy) to 10 (extremely difficult) and time expenditures for assessing pUSIS were documented.

Results:

Individual pUSIS values ranged from 8 in a laparoscopic cholecystectomy case to 36 in a total hip replacement case. The lowest median pUSIS value of 11.5 was found for laparoscopic cholecystectomy and the highest value of 24.5 was found for open thoracic surgery. The correlation between pUSIS values and the duration of surgery resulted in a tight linear regression (R2=0.6419). The lowest mean (±SD) difficulty level to obtain pUSIS values was 1.6±0.6 for sleeve gastrectomy and the highest one was 2.9±0.6 for knee replacement. The duration to finalise the calculations was 4.1±1.1 min for video-assisted thoracoscopy (VATS) and 9.4±1.3 min for sleeve gastrectomy.

Conclusion:

We concluded that pUSIS has the potential to be a useful, simply obtainable and universal assessment tool for quantification of the magnitude and invasiveness of individual surgical operations and can serve as a means to quantify surgical interventions for outcome research and evaluate surgical performance.

Keywords: Surgical invasiveness, score, surgical risk, outcome

References

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