Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Dec 18, 2016; 7(12): 832-838
Published online Dec 18, 2016. doi: 10.5312/wjo.v7.i12.832
Published online Dec 18, 2016. doi: 10.5312/wjo.v7.i12.832
Surgical apgar score predicts early complication in transfemoral amputees: Retrospective study of 170 major amputations
Christian Wied, Morten T Kristensen, Gitte Holm, Thomas Kallemose, Anders Troelsen, Department of Orthopedic Surgery, Copenhagen University Hospital Hvidovre, DK-2650, Denmark
Nicolai B Foss, Department of Anesthesiology and Intensive Care, Copenhagen University Hospital Hvidovre, DK-2650, Denmark
Morten T Kristensen, Physical Medicine and Rehabilitation Research-Copenhagen, Department of Physical Therapy, Copenhagen University Hospital Hvidovre, DK-2650, Denmark
Thomas Kallemose, Clinical Research Centre, Copenhagen University Hospital Hvidovre, DK-2650, Denmark
Author contributions: All the authors contributed to the manuscript.
Institutional review board statement: This retrospective study was undertaken using data from medical records only. The local ethics committee approved the protocol. Protocol: H-6-2014-FSP-026.
Informed consent statement: Our retrospective study contained data from medical records only. The study was registered at the regional data protection agency (04.12.2012) (j. no. 01975 HVH-2012-053).
Conflict-of-interest statement: The authors declare that they have no conflicts of interest. No benefits in any form have been received or will be received from any commercial party related directly or indirectly to the subject of this article.
Data sharing statement: The data from this study will be available on request.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Christian Wied, MD, Department of Orthopedic Surgery, Copenhagen University Hospital Hvidovre, Kettegaard Alle 30, DK-2650, Denmark. chr.wied@gmail.com
Telephone: +45-20616831 Fax: +45-38623782
Received: June 22, 2016
Peer-review started: June 27, 2016
First decision: August 11, 2016
Revised: September 19, 2016
Accepted: October 25, 2016
Article in press: October 27, 2016
Published online: December 18, 2016
Peer-review started: June 27, 2016
First decision: August 11, 2016
Revised: September 19, 2016
Accepted: October 25, 2016
Article in press: October 27, 2016
Published online: December 18, 2016
Core Tip
Core tip: This study presents new knowledge regarding the use of Surgical Apgar Score (SAS) in dysvascular lower extremity amputations (LEA) surgery. There is a significant increase in complications with a low SAS after LEA surgery. This is even more pronounced when the transfemoral amputation (TFA) sub-group is analyzed separately. Thus, for a TFA patient with a SAS < 7, the odds of a major complication or death is four times greater than for a patient with a SAS ≥ 7. ROC analysis confirms the discriminatory power of the SAS approach among the TFA patients. However, the SAS model proved to be of no prognostic value in the transtibial amputation group.