Validation of ACS NSQIP Risk Calculator for Predicting Complications After Thoracic Surgery at University Hospital Basel

Validation of the ACS NSQIP Risk Calculator as Predictive Tool for Complications After Thoracic Surgery in Consecutive Series of Patients Operated at the Department of Thoracic Surgery University Hospital Basel

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06483464

Enrollment

300

Registered

2024-07-03

Start date

2021-05-01

Completion date

2023-08-31

Last updated

2024-07-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Thoracic

Keywords

Thoracic surgery, Predicting complications, National Surgical Quality Improvement Program of the American College of Surgeons (ACS NSQIP)

Brief summary

This single-center retrospective research project aims to evaluate whether and what is the significance of the National Surgical Quality Improvement Program of the American College of Surgeons (ACS NSQIP) risk score in thoracic surgery at the University Hospital Basel.

Detailed description

Advances in medical and surgical therapies have enabled treatment for polymorbid patients, who often have multiple chronic conditions. This has increased the need to accurately assess the risks of postoperative complications and mortality. Due to their complex health status, these patients are more susceptible to adverse outcomes following surgery, necessitating precise risk prediction to guide clinical decision-making and optimize outcomes. This single-center retrospective research project compares the preoperative risk assessments by the National Surgical Quality Improvement Program of the American College of Surgeons (ACS NSQIP) risk calculator with actual complications (graded according to the Clavien-Dindo classification) observed in patients who underwent thoracic surgery at the University Hospital Basel between May 1, 2021, and March 1, 2022. The ACS NSQIP risk calculator, a web-based tool, uses 21 preoperative risk factors to predict 13 perioperative outcomes, including serious complications, infections, and mortality. By evaluating these predictions against real patient outcomes, this research project aims to validate the calculator's accuracy specifically in the context of thoracic surgery. The results of this research project could optimize patient care by better identifying high-risk patients and improving preoperative preparation.

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

14 Years to No maximum

Inclusion criteria

* Patients with signed general research consent * Patients who underwent surgery in our department for the period from 01.05.2021 to 01.03.2022 * Patients with preoperative ACS NSQIP Risk score

Exclusion criteria

* Patients who have clearly stated that they would not agree in providing their clinical data for scientific purposes

Design outcomes

Primary

Measure	Time frame	Description
Suitability of the ACS NSQIP risk calculator	Up to 30 days after surgery	To evaluate the suitability of the National Surgical Quality Improvement Program of the American College of Surgeons (ACS NSQIP) risk calculator for thoracic surgery, the ACS NSQIP risk score is compared to actual complications. ACS NSQIP risk score is a tool used to predict the likelihood of postoperative complications and mortality in surgical patients. It is calculated based on a range of preoperative variables, including patient demographics, comorbidities, and the type of surgery being performed. The values of the ACS NSQIP risk score can range from 0 to 100, with higher scores indicating a higher risk of complications and a worse expected outcome.

Countries

Switzerland

Outcome results