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Use of the Portsmouth Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (‘P-POSSUM’) to predict morbidity in patients undergoing surgery with reconstruction for temporal bone malignancy

Published online by Cambridge University Press:  26 May 2022

H Jones Open the ORCID record for H Jones [Opens in a new window] ,
A Gendre Open the ORCID record for A Gendre [Opens in a new window] ,
A McHugh ,
J Hintze Open the ORCID record for J Hintze [Opens in a new window] ,
B O'Sullivan ,
F Martin ,
R McConn-Walsh ,
J P O'Neill  and
N Shine
H Jones*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland
A Gendre
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland
A McHugh
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland
J Hintze
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland
B O'Sullivan
Affiliation:
Department of Plastic and Reconstructive Surgery, Beaumont Hospital, Dublin, Ireland
F Martin
Affiliation:
Department of Plastic and Reconstructive Surgery, Beaumont Hospital, Dublin, Ireland
R McConn-Walsh
Affiliation:
Department of Plastic and Reconstructive Surgery, Beaumont Hospital, Dublin, Ireland
J P O'Neill
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland
N Shine
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland
*
Author for correspondence: Dr Holly Jones, Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin 9, Ireland E-mail: hollyrjones@rcsi.com
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Abstract

Objective

The Portsmouth Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (‘P-POSSUM’) is a two-part scoring system that includes a physiological assessment and a measure of operative severity. This study sought to determine whether risk estimates for this scoring system could be used in major head and neck reconstructive surgery.

Method

A retrospective review was performed of patients undergoing resection for a temporal bone malignancy in a single head and neck centre in Dublin, Ireland, from 2002 to 2021.

Results

The mean ± standard deviation morbidity estimate calculated using the scoring system was 47.6 per cent ± 19.5 per cent. The actual rate of complications was 47 per cent. The optimal cut-off for the scoring system was calculated using the Youden index from the receiver operating characteristic curve, which was 40.5 per cent in this case.

Conclusion

The study indicates that the Portsmouth Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity is a useful tool for predicting morbidity risk in patients undergoing head and neck resection with reconstruction for temporal bone malignancies.

Keywords

MorbidityTemporal BonePostoperative ComplicationsRisk Factors

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 12 , December 2022 , pp. 1271 - 1274
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr H Jones takes responsibility for the integrity of the content of the paper

References

Prytherch, DR, Whiteley, MS, Higgins, B, Weaver, PC, Prout, WG, Powell, SJ. POSSUM and Portsmouth POSSUM for predicting mortality. Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity. Br J Surg 1998;85:1217–20CrossRefGoogle ScholarPubMed
Kodama, A, Narita, H, Kobayashi, M, Yamamoto, K, Komori, K. Usefulness of POSSUM physiological score for the estimation of morbidity and mortality risk after elective abdominal aortic aneurysm repair in Japan. Circ J 2011;75:550–6CrossRefGoogle ScholarPubMed
Whiteley, MS, Prytherch, DR, Higgins, B, Weaver, PC, Prout, WG. An evaluation of the POSSUM surgical scoring system. Br J Surg 1996;83:812–15CrossRefGoogle ScholarPubMed
Sagar, PM, Hartley, MN, Mancey-Jones, B, Sedman, PC, May, J, Macfie, J. Comparative audit of colorectal resection with the POSSUM scoring system. Br J Surg 1994;81:1492–4CrossRefGoogle ScholarPubMed
Jones, DR, Copeland, GP, de Cossart, L. Comparison of POSSUM with APACHE II for prediction of outcome from a surgical high-dependency unit. Br J Surg 1992;79:1293–6CrossRefGoogle ScholarPubMed
Turrentine, FE, Wang, H, Simpson, VB, Jones, RS. Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg 2006;203:865–77CrossRefGoogle ScholarPubMed
Makino, Y, Ishida, K, Kishi, K, Kodama, H, Miyawaki, T. The association between surgical complications and the POSSUM score in head and neck reconstruction: a retrospective single-center study. J Plast Surg Hand Surg 2018;52:153–7CrossRefGoogle ScholarPubMed
Copeland, GP, Jones, D, Walters, M. POSSUM: a scoring system for surgical audit. Br J Surg 1991;78:355–60CrossRefGoogle ScholarPubMed
Tekkis, PP, Prytherch, DR, Kocher, HM, Senapati, A, Poloniecki, JD, Stamatakis, JD et al. Development of a dedicated risk-adjustment scoring system for colorectal surgery (colorectal POSSUM). Br J Surg 2004;91:1174–82CrossRefGoogle ScholarPubMed
Menon, KV, Farouk, R. An analysis of the accuracy of P-POSSUM scoring for mortality risk assessment after surgery for colorectal cancer. Colorectal Dis 2002;4:197–200CrossRefGoogle ScholarPubMed
Brunelli, A, Fianchini, A, Xiume, F, Gesuita, R, Mattei, A, Carle, F. Evaluation of the POSSUM scoring system in lung surgery. Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity. Thorac Cardiovasc Surg 1998;46:141–6CrossRefGoogle ScholarPubMed
Copeland, GP, Jones, D, Wilcox, A, Harris, PL. Comparative vascular audit using the POSSUM scoring system. Ann R Coll Surg Engl 1993;75:175–7Google ScholarPubMed
Linn, BS, Robinson, DS, Klimas, NG. Effects of age and nutritional status on surgical outcomes in head and neck cancer. Ann Surg 1988;207:267–73CrossRefGoogle ScholarPubMed
Farwell, DG, Reilly, DF, Weymuller, EA Jr, Greenberg, DL, Staiger, TO, Futran, NA. Predictors of perioperative complications in head and neck patients. Arch Otolaryngol Head Neck Surg 2002;128:505–11CrossRefGoogle ScholarPubMed