Reliability Of Ariscat Score Calculator To Predict Post-Operative Pulmonary Complications After Major Hepatobiliary Surgeries

Syed Ali Mazhar Rizvi; Azmat Riaz; Kaukab Majeed; Muhammad Shahid  Khan; Nasir Mahmud  Watoo; Ameer Yasser  Zaid

doi:10.51253/pafmj.v76i1.11595

Authors

Syed Ali Mazhar Rizvi Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Azmat Riaz Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Kaukab Majeed Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Muhammad Shahid Khan Department of Surgery, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Nasir Mahmud Watoo Department of Surgery, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Ameer Yasser Zaid Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76i1.11595

Keywords:

abdominal surgery, ARISCAT score, hepatobiliary, quality of life

Abstract

Objective: To measure the reliability of ARISCAT (Assess Respiratory Risk in Surgical Patients in Catalonia) score calculator to predict post-operative pulmonary complications after major hepatobiliary surgeries.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Anesthesia and Intensive Care, Army Liver Transplant Unit, Pak Emirates Military Hospital (PEMH), Rawalpindi, Pakistan, from Jan to Aug 2023.

Methodology: After gaining ethics approval, ARISCAT score was calculated for 80 patients who underwent hepatobiliary surgeries for various indications with both ARISCAT score and risk index calculated in all patients with help of following parameters: pre-operative oxygen saturation, history of respiratory tract infection within last one-month, pre-operative hemoglobin concentration, type of surgical incision, duration of surgery and nature of procedure (elective or emergency). Relative risk, sensitivity and specificity were also calculated to determine reliability of ARISCAT score.

Results: There were no pulmonary complications in 4(80.00%) patients with low ARISCAT score (<26) having relative risk of 0.034 (CI 95%, 0.003-0.3440). The relative risk of development of post-operative complications was 0.429 (CI 95%, 0.127-1-44). The relative risk of development of post-operative pulmonary complication with high ARISCAT score was 8.4(CI 95%, 2.08- 33.9)

Conclusion: ARISCAT score is a reliable screening tool in predicting post-operative pulmonary complications after major hepatobiliary surgery.

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