News & Events 

 

9/30/2014: Dr. Heena Santry has been awarded an R01 (Independent Investigator Research Grant) from the Agency for Healthcare Research & Quality for her project entitled "A New Specialty Responding To National Needs: Does Acute Care Surgery Deliver?" (Grant #1 R01 HS022694-01A1). The project focuses on an ongoing crisis in access to care for time-sensitive surgical diseases such as perforated bowel or necrotizing soft tissue infections that is expected to worsen based on current surgical workforce trends and the aging US population. The research will examine the ongoing diffusion of a new specialty called acute care surgery as a strategy to meet our nation’s emergency general surgery needs and will measure which specific structures and processes optimize outcomes for patients with general surgery emergencies. The results of this project will help develop organized systems for the care of emergency general surgery patients so that all Americans suffering general surgery emergencies will have timely access to high quality surgical care regardless of when and where they are stricken.


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In Hospital Mortality for Liver Resection for Metastases: A Simple Risk Score

   Jessica P. Simons, M.D.,* Sing Chau Ng, M.S.,* Joshua S. Hill, M.D., Shimul A. Shah, M.D.,* Andreea Bodnari,  Zheng Zhou, M.D., Ph.D.,* Jennifer F. Tseng, M.D., M.P.H.*

Article published in Journal of Surgical Research, 2009 Sep;156(1):21-5. PMID: 19577250

 

Step 1. Calculate Charlson comorbidity score
Indicate "yes" for the comorbidities that the patient has. This validated algorithm (Charlson, ME et al. J Chron Dis 1987; 40(5):373-83.) assigns a point value to the various diseases. The patient's raw score will then be reassigned into the collapsed Charlson score groups for use in the risk score calculation. Group 1 is a score of zero, Group 2 is a score of 1, Group 3 is a score of 2, and Group 4 is a score of 3 or higher.  

Comorbidity

Points

AIDS   
Cerebrovascular Disease   
Chronic Pulmonary Disease   
Congestive Heart Failure   
Connective Tissue/Rheumatic Disease   
Dementia   
Diabetes Without End Organ Damage   
Diabetes With End Organ Damage   
Hemiplegia   
Liver Disease Mild to Moderate   
Liver Disease Severe   
Myocardial Infarction   
Peripheral Vascular Disease   
Renal Disease   
Ulcer Disease   
 
Charlson Group Score

 

Step 2. Calculate the risk score, including the Charlson group.
Patient age, Charlson score group, planned procedure type, gender, and the teaching status of the hospital are indicated.  The point values are assigned accordingly to yield an additive score.  By clicking on the "Calculate Estimated Mortality" button, this score is then assigned to the appropriate risk score group, and the mortality for that group is displayed.

Factor

Level

Point Value

Age Group     
Charlson Group Score
Procedure Type     
Gender     
Hospital Type     
 
 

 

Figure1. Estimated Mortality Risk by score groups 

 

PancMets_Simons