Application Value of Surgical Risk Assessment System for Orthopedic Elderly Patients in Predicting 312 Patients

2020 ◽  
Vol 09 (02) ◽  
pp. 13-17
Author(s):  
少林 王
Keyword(s):  
Risk Assessment ◽  
Elderly Patients ◽  
Assessment System ◽  
Surgical Risk

Letter to the Editor: Craniopharyngiomas in the elderly: the crucial influence of tumor topography on surgical risk assessment

2021 ◽  
Author(s):  
José M. Pascual ◽  
Ruth Prieto
Keyword(s):  
Risk Assessment ◽  
Elderly Patients ◽  
Tumor Tissue ◽  
Significant Proportion ◽  
Wide Band ◽  
The Elderly ◽  
Surgical Risk ◽  
Definition Of ◽  
Weighted Sequences ◽  
Tumor Topography

Classifying CPs within the overly vague, uninformative category “suprasellar” prevents gaining any true insight regarding the risks associated with the surgical procedure employed. Routine MRI obtained with conventional T1- and T2-weighted sequences along the midsagittal and coronal trans-infundibular planes allow an accurate and reliable preoperative definition of CP topography. CPs developing primarily within the infundibulum and/or tuberal region of the hypothalamus, as well as those wholly located within the 3V, should be distinguished preoperatively from those lesions originally expanding beneath the 3V floor (3VF), the true suprasellar tumors. Among adult patients, about 40% of CPs correspond to infundibulo-tuberal tumors expanding primarily within the 3VF, above an intact pituitary gland and stalk. This subgroup of CPs shows strong adherences to the surrounding hypothalamus, as they are embedded within a wide band of reactive gliotic tissue, usually infiltrated by microscopic finger-like solid cords of tumor tissue. In elderly patients, a significant proportion of CPs correspond to papillary tumors developing above an intact 3VF, usually showing small pedicle-like or sessile-like attachments to the infundibulum. With the current diagnostic MRI workup routinely employed for CPs, it is possible, for the majority of lesions, to preoperatively differentiate these topographical variants and predict the type of CP-hypothalamus relationship that will be found during surgery.

scholarly journals Application of POSSUM and P-POSSUM in Surgical Risk Assessment of Elderly Patients Undergoing Hepatobiliary and Pancreatic Surgery

2020 ◽  
Vol Volume 15 ◽  
pp. 1121-1128
Author(s):  
Zhi-Wei Hu ◽  
Rui-Qiang Xin ◽  
Yi-Jun Xia ◽  
Guang-Peng Jia ◽  
Xiao-Xu Chen ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Elderly Patients ◽  
Pancreatic Surgery ◽  
Surgical Risk ◽  
Hepatobiliary And Pancreatic Surgery ◽  
P Application

The Use of Frailty as a Surgical Risk Assessment Tool in Elderly Patients

2014 ◽  
Vol 3 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Louis M. Revenig ◽  
Kenneth Ogan ◽  
Thomas J. Guzzo ◽  
Daniel J. Canter
Keyword(s):  
Risk Assessment ◽  
Elderly Patients ◽  
Assessment Tool ◽  
Risk Assessment Tool ◽  
Surgical Risk

scholarly journals Study of Surgeons’ Agreement on the Presence of Bony Anomalies on Coronal CT of Paranasal Sinuses

2002 ◽  
Vol 81 (12) ◽  
pp. 834-838 ◽  
Author(s):  
Hamdy El-Hakim ◽  
Matthew Oluwole ◽  
William S. MacKerrow ◽  
Leo G. McClymont ◽  
Paul S. White
Keyword(s):  
Computed Tomography ◽  
Risk Assessment ◽  
Interobserver Agreement ◽  
Scoring Systems ◽  
Assessment System ◽  
Sinus Surgery ◽  
Ct Scans ◽  
Surgical Risk ◽  
Preoperative Ct ◽  
Level Of Agreement

We conducted a study to determine the level of agreement among five surgeons who assessed the surgical risk to key neighboring structures prior to endoscopic sinus surgery as depicted on coronal computed tomography (CT). The five observers studied preoperative CT scans that had been performed on 29 patients. Two scoring systems were used to rate each scan: the Lund-Mackay system and our own risk-assessment system. Kappa analysis was used to measure interobserver agreement. We found that the overall level of agreement among the five surgeons according to the Lund-Mackay criteria was moderate, while agreement according to our risk-assessment system was only slight. We conclude that surgeons agreement on the bony detail of risk structures is not as strong as our agreement on other factors, such as staging disease.

scholarly journals Patient and Surgeon Perceptions of the Surgical Risk Preoperative Assessment System (SURPAS): A Mixed Methods Analysis

2020 ◽  
Author(s):  
Michael R. Bronsert ◽  
Anne Lambert-Kerzner ◽  
William G. Henderson ◽  
Karl E. Hammermeister ◽  
Chisom Atuanya ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Decision Making ◽  
Mixed Methods ◽  
Assessment Tool ◽  
Preoperative Assessment ◽  
Assessment System ◽  
Risk Level ◽  
Patient Risk ◽  
Surgical Risk ◽  
Provider Perceptions

Abstract Background Risk assessment is essential to informed decision making in surgery. Preoperative use of the Surgical Risk Preoperative Assessment System (SURPAS) providing individualized risk assessment, may enhance informed consent. We assessed patient and provider perceptions of SURPAS as a risk assessment tool. Methods A convergent mixed-methods study assessed SURPAS’s trial implementation, concurrently collecting quantitative and qualitative data, separately analyzing it, and integrating the results. Patients and providers were surveyed and interviewed on their opinion of how SURPAS impacted the preoperative encounter. Relationships between patient risk and patient and provider assessment of SURPAS were examined. Results 197 patients were provided their SURPAS postoperative risk estimates in nine surgeon’s clinics. 98.8% of patients reported they understood their surgical risks very or quite well after exposure to SURPAS; 92.7% reported SURPAS was very helpful or helpful. 83.4% of the time providers reported SURPAS was very or somewhat helpful; 44.7% of the time the providers reported it changed their interaction with the patient and this change was beneficial 94.3% of the time. As patient risk increased, providers reported that SURPAS was increasingly helpful (p<0.0001).Conclusions Patients and providers reported the use of SURPAS helpful and informative during the preoperative risk assessment of patients, thus improving the surgical decision making process. Patients thought that SURPAS was helpful regardless of their risk level, whereas providers thought that SURPAS was more helpful in higher risk patients.

scholarly journals The value of the "Surgical Risk Preoperative Assessment System" (SURPAS) in preoperative consultation for elective surgery: a pilot study.

2020 ◽  
Author(s):  
Michael R. Bronsert ◽  
Anne Lambert-Kerzner ◽  
William G. Henderson ◽  
Karl E. Hammermeister ◽  
Chisom Atuanya ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Decision Making ◽  
Elective Surgery ◽  
Preoperative Assessment ◽  
Assessment System ◽  
Risk Level ◽  
Patient Risk ◽  
Surgical Risk ◽  
Provider Perceptions ◽  
Risk Patients

Abstract Background: Risk assessment is essential to informed decision making in surgery. Preoperative use of the Surgical Risk Preoperative Assessment System (SURPAS) providing individualized risk assessment, may enhance informed consent. We assessed patient and provider perceptions of SURPAS as a risk assessment tool.Methods: A convergent mixed-methods study assessed SURPAS’s trial implementation, concurrently collecting quantitative and qualitative data, separately analyzing it, and integrating the results. Patients and providers were surveyed and interviewed on their opinion of how SURPAS impacted the preoperative encounter. Relationships between patient risk and patient and provider assessment of SURPAS were examined.Results: A total of 197 patients were provided their SURPAS postoperative risk estimates in nine surgeon’s clinics. Of the total patients, 98.8% reported they understood their surgical risks very or quite well after exposure to SURPAS; 92.7% reported SURPAS was very helpful or helpful. Providers shared that 83.4% of the time they reported SURPAS was very or somewhat helpful; 44.7% of the time the providers reported it changed their interaction with the patient and this change was beneficial 94.3% of the time. As patient risk increased, providers reported that SURPAS was increasingly helpful (p<0.0001).Conclusions: Patients and providers reported the use of SURPAS helpful and informative during the preoperative risk assessment of patients, thus improving the surgical decision making process. Patients thought that SURPAS was helpful regardless of their risk level, whereas providers thought that SURPAS was more helpful in higher risk patients.

p-EMA (II): evaluating ecological risks of pesticides for a farm-level risk assessment system

Agronomie ◽  
2003 ◽  
Vol 23 (1) ◽  
pp. 75-84 ◽  
Author(s):  
Andy Hart ◽  
Colin D. Brown ◽  
Kathy A. Lewis ◽  
John Tzilivakis
Keyword(s):  
Risk Assessment ◽  
Assessment System ◽  
Ecological Risks ◽  
Farm Level

IRISK METHOD FOR SECURITY ESTIMATION OF THE SIMULATION POLYGON FOR THE PROTECTION OF CRITICAL INFORMATION RESOURCES

2019 ◽  
Author(s):  
Bogdan Korniyenko ◽  
Lilia Galata
Keyword(s):  
Risk Assessment ◽  
Information System ◽  
Information Security ◽  
Risk Analysis ◽  
Information Resources ◽  
Security System ◽  
Assessment System ◽  
Automated System ◽  
Information Risk ◽  
Critical Information

In this article, the research of information system protection by ana­ ly­ zing the risks for identifying threats for information security is considered. Information risk analysis is periodically conducted to identify information security threats and test the information security system. Currently, various information risk analysis techni­ ques exist and are being used, the main difference being the quantitative or qualitative risk assessment scales. On the basis of the existing methods of testing and evaluation of the vulnerabilities for the automated system, their advantages and disadvantages, for the possibility of further comparison of the spent resources and the security of the information system, the conclusion was made regarding the deter­ mi­ nation of the optimal method of testing the information security system in the context of the simulated polygon for the protection of critical information resources. A simula­ tion ground for the protection of critical information resources based on GNS3 application software has been developed and implemented. Among the considered methods of testing and risk analysis of the automated system, the optimal iRisk methodology was identified for testing the information security system on the basis of the simulated. The quantitative method Risk for security estimation is considered. Generalized iRisk risk assessment is calculated taking into account the following parameters: Vulnerabili­ ty  — vulnerability assessment, Threat — threat assessment, Control — assessment of security measures. The methodology includes a common CVSS vul­ nerability assessment system, which allows you to use constantly relevant coefficients for the calculation of vulnerabilities, as well as have a list of all major vulnerabilities that are associated with all modern software products that can be used in the automated system. The known software and hardware vulnerabilities of the ground are considered and the resistance of the built network to specific threats by the iRisk method is calculated.

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