The Journal of Urology
Volume 181, Issue 3 , Pages 1046-1053 , March 2009

Surgical Apgar Outcome Score: Perioperative Risk Assessment for Radical Cystectomy

  • Sandip M. Prasad

      Affiliations

    • Division of Urologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts
    • ,
  • Marcos Ferreria

      Affiliations

    • Division of Urologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts
    • ,
  • Alexander M. Berry

      Affiliations

    • Division of Urologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts
    • ,
  • Stuart R. Lipsitz

      Affiliations

    • Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts
    • ,
  • Jerome P. Richie

      Affiliations

    • Division of Urologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts
    • Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts
    • Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts
    • ,
  • Atul A. Gawande

      Affiliations

    • Division of Urologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts
    • ,
  • Jim C. Hu

      Affiliations

    • Brigham and Women's Hospital, Boston, Massachusetts
    • Lank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts
    • Corresponding Author InformationCorrespondence: Division of Urologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts (telephone: 617-732-6907; FAX: 617-566-3475)

Received 23 July 2008

References 

  1. Skinner DG, Stein JP. Radical cystectomy for invasive bladder cancer: long-term results of a standard procedure. World J Urol. 2006;24:296
  2. Lee KL, Freiha F, Presti JC, Gill HS. Gender differences in radical cystectomy: complications and blood loss. Urology. 2004;63:1095
  3. Cookson MS, Chang SS, Wells N, Parekh DJ, Smith JA. Complications of radical cystectomy for nonmuscle invasive disease: comparison with muscle invasive disease. J Urol. 2003;169:101
  4. Kohn LT, Corrigan JM, Donaldson MS. To Err is Human: Building a Safer Health System. Washington, D. C: National Academy Press; 2000;
  5. Berwick DM, Calkins DR, McCannon CJ, Hackbarth AD. The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. JAMA. 2006;295:324
  6. Bristlow PJ, Hillman KM, Chey T, Daffum K, Jacques TC, Norman SL, et al. Rates of in-hospital arrests, deaths and intensive care admissions: the effect of a medical emergency team. Med J Aust. 2000;173:236
  7. Gawande AA, Kwaan MR, Regenbogen SE, Lipsitz SA, Zinner MJ. An Apgar score for surgery. J Am Coll Surg. 2007;204:201
  8. Casey BM, McIntire DD, Leveno KJ. The continuing value of the Apgar score for the assessment of newborn infants. N Engl J Med. 2001;344:467
  9. Reich DL, Bennett-Guerrero E, Bodian CA, Hossain S, Winfree W, Krol M. Intraoperative tachycardia and hypertension are independently associated with adverse outcome in noncardiac surgery of long duration. Anesth Analg. 2002;95:273
  10. Monk TG, Saini V, Weldon BC, Sigl JC. Anesthetic management and one-year mortality after noncardiac surgery. Anesth Analg. 2005;100:4
  11. Khuri SF, Daley J, Henderson W, Hur K, Demakis J, Aust JB, et al. The Department of Veterans Affairs' NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care (National VA Surgical Quality Improvement Program). Ann Surg. 1998;228:491
  12. Lowrance WT, Rumohr JA, Chang SS, Clark PE, Smith JA, Cookson MS. Contemporary open radical cystectomy: analysis of perioperative outcomes. J Urol. 2008;179:1313
  13. Kannel WB, Kannel C, Paffenbarger RS, Cupples LA. Heart rate and cardiovascular mortality: the Framingham Study. Am Heart J. 1987;113:1489
  14. Greenland P, Daviglus ML, Dyer AR, Liu K, Huang CF, Goldberger JJ, et al. Resting heart rate is a risk factor for cardiovascular and noncardiovascular mortality: the Chicago Heart Association Detection Project in Industry. Am J Epidemiol. 1999;149:853

 Study received institutional review board approval.

PII: S0022-5347(08)03013-9

doi: 10.1016/j.juro.2008.10.165

The Journal of Urology
Volume 181, Issue 3 , Pages 1046-1053 , March 2009

Article Tools

* Image Usage & Resolution