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| 1 | Risk-adjustment in hepatobiliarypancreatic surgery显示文摘AIM: The present study evaluates the performance of the POSSUM, the American Society of Anesthetists (ASA),APACHE and Childs classification in predicting mortality and morbidity in hepatopancreaticobiliary (HPB) surgery.We describe especially the limitations and advantages of risk in stratifying the patients.METHODS: We investigated 177 randomly chosen patients undergoing eledive complex HPB surgery in a single institution with a total of 71 pre-operative and intra-operative risk factors.Primary endpoint was in-hospital mortality and morbidity.Ordered logistic regression analysis was used to identify individual predictors of operative morbidity and mortality.RESULTS: The operative mortality in the series was 3.95% .This compared well with the p-POSSUM and APACHE predicted mortality of 4.31% and 4.29% respectively. Postoperative complications amounted to 45% with 24 (13.6%)patients having a major adverse event. On multivariate analysis the pre-operative POSSUM physiological score (OR = 1.18,P = 0.009) was superior in predicting complications compared to the ASA (P = 0.108), APACHE (P = 0.117)or Childs classification (P = 0.136). In addition, serum sodium, creatinine, international normalized ratio (INR),pulse rate, and intra-operative blood loss were independent risk factors. A combination of the POSSUM variables and INR offered the optimal combination of risk factors for risk prognostication in HPB surgery.CONCLUSION: Morbidity for elective HPB surgery can be accurately predicted and applied in everyday surgical practice as an adjunct in the process of informed consent and for effective allocation of resources for intensive and high-dependency care facilities. | Hemant M Kocher Paris P Tekkis Palepu Gopal Ameet G Patel Simon Cottam Irving S Benjamin | 2005 | World Journal of Gastroenterology2005，11，16： | 3 |
| 2 | Adjuvant imatinib mesylate after resection of localised, primary gastrointestinal stromal tumour: a randomised, double-blind, placebo-controlled trial显示文摘 | Ronald P DeMatteo Karla V Ballman Cristina R Antonescu Robert G Maki Peter WT Pisters George D Demetri Martin E Blackstein Charles D Blanke Margaret von Mehren Murray F Brennan Shreyaskumar Patel Martin D McCarter Jonathan A Polikoff Benjamin R Tan Kouros | 2009 | The Lancet2009，，9669： | 2 |
| 3 | Real Estate Versus Financial Wealth in Consumption显示文摘 | BENJAMIN JOHN D CHINLOY P ONALD JUD G | 2004 | Journal of Real Estate Finance and Economics2004，3，： | 1 |
| 4 | Tumorigenesis and the angiogenic switch显示文摘 | Benjamin LE | 2003 | Nat Rev Cancer2003，3，6： | 1 |
| 5 | Diabetes and cardiovascular disease: a statement for healthcare professionals from the American Heart Association显示文摘 | GRUNDY S M BENJAMIN I J BURKE G L | 1999 | Circulation1999，100，10： | 1 |
| 6 | Radiative Heating Rates for Saharan Dust 显示文摘 | Carlson T N S G Benjamin | 1980 | J Atmos Sci1980，37，1： | 1 |
| 7 | Inflammatory and anti-inflammatory effects of soybean agglutinin 显示文摘 | Benjamin C F Fiqueriedo R C Henriques M G et ol | 1997 | Braz J Med Biol Res1997，30，： | 1 |
| 8 | Accuracy of ACARS Wind and Temperature Observations Determined by Collocation显示文摘 | Stanley G Benjamin Barry E Schwartz | 1999 | Weather and Forecasting1999，14，： | 1 |
| 9 | Delegation Logic:A Logic-based Approach to Distributed Authorization显示文摘 | Ninghui Li Benjamin N G Feigenbaum J | 2003 | ACM Transactions on Information and System Security2003，6，1： | 1 |
| 10 | Adsorption of natural organic matter (NOM) on iron oxide: Effects on NOM composition and formation of organo-halide compounds during chlorination显示文摘 | Korshin G V Benjamin M M Sletten R S | 1997 | Water Research1997，31，7： | 1 |
| 11 | Real Estate Versus Financial Wealth in Consumption显示文摘 | Benjamin J D Chinloy P Jud G D | 2004 | Journal of Real Estate Finance and Economic2004，29，3： | 1 |
| 12 | The evolution of the mesoseale enviromnent of severe h>eal storms:Preliminary modeling results显示文摘 | ANTHES R A KUO Y H BENJAMIN S G | 1982 | Mon Wea Rev1982，110，： | 1 |
| 13 | Antioxidant and anti- hemolytic of soybean isoflavobene 显示文摘 | MICHAEL N BENJAMIN G ANUN BONDI | 1976 | J of Agric Food Chem1976，24，6： | 1 |
| 14 | A Comparsion of Temperature and Wind Measurements from ACARS-E- quipped Aircraft and Rawinsondes显示文摘 | Barry Schwartz Stanley G Benjamin | 1995 | Weather and Forecasting1995，10，： | 1 |
| 15 | Ownership structures of foreign subsidiaries:Theory and evidence显示文摘 | Benjamin G C | 1989 | Journal of Economic Behavior & Or-ganization1989，11，1： | 1 |
| 16 | Diagnostic criteria for hem- atopoietic stem cell transplant-associated microangiopathy: results of a consensus process by an International Working Group 显示文摘 | Ruutu T Barosi G Benjamin RJ | 2007 | Haema- tologica2007，92，1： | 1 |
| 17 | Real Estate Versus Financial Wealth in Consumption显示文摘 | Benjamin John D Chinloy P Donald Jud G | | 0，，03： | 1 |
| 18 | Performance of different soil model configurations in simulating ground surface temperature and surface fluxes 显示文摘 | Smimova T G Brown J M Benjamin S G | 1997 | Monthly Weather Review1997，125，8： | 1 |
| 19 | Extended duration rivaroxaban versus short-term enoxaparin for the prevention of venous thromboembolism after total hip arthroplasty: a double-blind, randomised controlled trial显示文摘 | Ajay K Kakkar Benjamin Brenner Ola E Dahl Bengt I Eriksson Patrick Mouret Jim Muntz Andrea G Soglian ákos F Pap Frank Misselwitz Sylvia Haas | 2008 | The Lancet2008，，9632： | 1 |
| 20 | New insights in- to the fimction of the vastus medialis with clinical implica- tions显示文摘 | Toumi H Poumarat G Benjamin M | 2007 | Medicine and Science in Sports and Exercise2007，39，7： | 1 |
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