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The ASOS Surgical Risk Calculator: development and validation of a tool for identifying African surgical patients at risk of severe postoperative complications. Br J Anaesth 2018; 121:1357-1363. [PMID: 30442264 DOI: 10.1016/j.bja.2018.08.005] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2018] [Revised: 07/19/2018] [Accepted: 08/06/2018] [Indexed: 10/28/2022] Open
Abstract
BACKGROUND The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a simple, preoperative risk stratification tool to identify African surgical patients at risk for in-hospital postoperative mortality and severe complications. METHODS ASOS was a 7-day prospective cohort study of adult patients undergoing surgery in Africa. The ASOS Surgical Risk Calculator was constructed with a multivariable logistic regression model for the outcome of in-hospital mortality and severe postoperative complications. The following preoperative risk factors were entered into the model; age, sex, smoking status, ASA physical status, preoperative chronic comorbid conditions, indication for surgery, urgency, severity, and type of surgery. RESULTS The model was derived from 8799 patients from 168 African hospitals. The composite outcome of severe postoperative complications and death occurred in 423/8799 (4.8%) patients. The ASOS Surgical Risk Calculator includes the following risk factors: age, ASA physical status, indication for surgery, urgency, severity, and type of surgery. The model showed good discrimination with an area under the receiver operating characteristic curve of 0.805 and good calibration with c-statistic corrected for optimism of 0.784. CONCLUSIONS This simple preoperative risk calculator could be used to identify high-risk surgical patients in African hospitals and facilitate increased postoperative surveillance. CLINICAL TRIAL REGISTRATION NCT03044899.
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Verfahren zur integralen Strömungsbeurteilung von Ventrikelmodellen. BIOMED ENG-BIOMED TE 2009. [DOI: 10.1515/bmte.1974.19.s1.181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Verweilzeitverteilung in Systemen mit periodisch veränderlichem Volumen. CHEM-ING-TECH 2004. [DOI: 10.1002/cite.330530914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Das Fließverhalten von Kunststoffen im Walzspalt, untersucht am Beispiel von Polyäthylen. CHEM-ING-TECH 2004. [DOI: 10.1002/cite.330340319] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Fortschritte bei Membranen und Membran-Verfahren für die Wasserentsalzung. CHEM-ING-TECH 2004. [DOI: 10.1002/cite.330520725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Industrial Membrane Separation Technology. Blackie Acad. & Professional, Glasgow 1995. 305 5eiten. zahlr. Abb. und Tab., geb., £ 69,-. ISBN 0-7514-0338-5. CHEM-ING-TECH 2004. [DOI: 10.1002/cite.330681023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Pressure driven membrane processes — the answer to the need of a growing world population for quality water supply and waste water disposal. Sep Purif Technol 2001. [DOI: 10.1016/s1383-5866(00)00130-1] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Treatment of severely contaminated waste water by a combination of RO, high-pressure RO and NF â potential and limits of the process. J Memb Sci 2000. [DOI: 10.1016/s0376-7388(00)00388-4] [Citation(s) in RCA: 53] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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A variation in fiber properties affects the performance of defect-free hollow fiber membrane modules for air separation. J Memb Sci 1998. [DOI: 10.1016/s0376-7388(98)00206-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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53. Einsatzpotential von anorganischen Zeolithmembranen in der Pervaporation und Dampfpermeation. CHEM-ING-TECH 1998. [DOI: 10.1002/cite.330700957] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Einsatz von Zeolithmembranen zur Leistungssteigerung technischer Reaktionsprozesse. CHEM-ING-TECH 1997. [DOI: 10.1002/cite.3306909182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Neuronale Netze - Werkzeug zur Membranauswahl. CHEM-ING-TECH 1997. [DOI: 10.1002/cite.3306909180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Corrections for analytical gas-permeation models for separation of binary gas mixtures using membrane modules. J Memb Sci 1996. [DOI: 10.1016/0376-7388(96)00128-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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172. Rechnergestütztes System zum Management von Informationen und Daten der Membrantechnik. CHEM-ING-TECH 1996. [DOI: 10.1002/cite.3306809174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Membrane Separations Technology - Principles and Applications. R. D. NOBLE, S. A. STERN. Elsevier, Amsterdam 1995. 718 Seiten, US $ 340,-. CHEM-ING-TECH 1996. [DOI: 10.1002/cite.330680128] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Umkehrosmose nicht-wäßriger Lösungen. CHEM-ING-TECH 1995. [DOI: 10.1002/cite.330670929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Betriebserfahrungen mit Wirbelschicht-Wärmeaustauschern. CHEM-ING-TECH 1995. [DOI: 10.1002/cite.3306709145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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182. Einsatz der Seeding-Technik zur Aufarbeitung härtehaltiger, wäßriger Lösungen im Horizontalrohr-Fallfilmverdampfer. CHEM-ING-TECH 1994. [DOI: 10.1002/cite.3306609183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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137. Aufbereitung von Methanol/Dimethylcarbonat-Strömen durch Kombination von Pervaporation und Rektifikation. CHEM-ING-TECH 1994. [DOI: 10.1002/cite.3306609138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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33. Reststoffarme Abwasseraufbereitung mittels Kombination ?Biologie/Membranverfahren? CHEM-ING-TECH 1993. [DOI: 10.1002/cite.330650935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Polymers for Gas Separation. VonNaoki Toshima, VCH Publishers, New York 1992. 245 S., 143 Abb., 29 Tab., geb., DM 156,-. CHEM-ING-TECH 1993. [DOI: 10.1002/cite.330650819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Treatment of landfill gas by gas permeation: Pilot plant results and comparison with alternative uses. ACTA ACUST UNITED AC 1993. [DOI: 10.1016/0950-4214(93)85017-p] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Entwicklung verfahrenstechnischer Prozesse. Von E. Blaß. Verlag Salle + Sauerländer, Frankfurt/M. 1989. XXXVI, 790 S., zahlr. Abb. u. Tab., geb., DM 180,-. CHEM-ING-TECH 1989. [DOI: 10.1002/cite.330611030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Zur Regeneration von Hämofiltrat/Hämodialysat mittels Membranverfahren. BIOMED ENG-BIOMED TE 1988. [DOI: 10.1515/bmte.1988.33.s1.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Membranes, an important polymer product for industrial process technology—new developments concerning their manufacture and uses. ADVANCES IN POLYMER TECHNOLOGY 1987. [DOI: 10.1002/adv.1987.060070301] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Seawater and Desalting, Vol. 4. VonA. Delyannis undE.-E. Delyunnis. Eigenverlag Delyannis, Plastirastr. 3. Amarousion-Pefki/Griechenland 1985. CHEM-ING-TECH 1986. [DOI: 10.1002/cite.330580331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Die Aufbereitung ölhaltiger Industriewaschwässer durch Mikrofiltration/Ultrafiltration. ACTA ACUST UNITED AC 1984. [DOI: 10.1002/lipi.19840860105] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Abstract
The separation of urea from the hemofiltrate (or from spent dialysis fluid) must be considered the critical step in all regeneration systems. A promising solution for this problem is the combination of electrodialysis and reverse osmosis. A mathematical stimulation of the process and in vitro experiments have been carried out in order to determine operating conditions and design specifications. The experiments confirmed the predicted performance of the regeneration system with respect to the separation of urea and the recovery of electrolytes. As expected, some ionic toxins, such as uric acid, and some middle molecules are recovered also. These substances, however, can be easily removed by a small adsorption cartridge.
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Seawater and desalting, Vol. 1. VonA. Delyannis undE.-E. Delyannis. Springer-Verlag, Berlin - Heidelberg - New York 1980. 1. Aufl., 189 S., geb., DM 59,-. CHEM-ING-TECH 1981. [DOI: 10.1002/cite.330530807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Gmelin Handbuch der Anorganischen Chemie: Water Desalting, 1. Erganzungslieferung. Von A. A. Delyannis und E. A. Delyannis, herausgeg. vom Gmelin-lnst. f. Anorgan. Chemie d. Max-Planck-Gesellschaft z. Förderung d. Wissenschaften e. V. Springer-VerIag, Ber. CHEM-ING-TECH 1980. [DOI: 10.1002/cite.330520621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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[The problem of removing urea out of the ultrafiltrate of artificial kidneys (author's transl)]. BIOMED ENG-BIOMED TE 1979; 24:174-8. [PMID: 486678 DOI: 10.1515/bmte.1979.24.7-8.174] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Anwendung und Grenzen der klinischen Hämofiltration. BIOMED ENG-BIOMED TE 1978. [DOI: 10.1515/bmte.1978.23.s1.208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Hyperfiltration and Ultrafiltration in Plate-and-Frame Systems. VonR. R. Madsen. Elsevier Scientific Publishing Company, Amsterdam Oxford- New York 1977. 1. Aufl., XI, 367 S., zahlr. Abb. u. Tab., geb., Dfl. 99.00. CHEM-ING-TECH 1977. [DOI: 10.1002/cite.330491220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Reverse Osmosis and Synthetic Meinbranes, Theory - Technology - Engineering. Herausgeg. vonS. Sourirajan. National Council of Canada, Ottawa/Canada 1977. 1. Aufl., XV, 598 S., zahlr. Abb. u. Tab., geb., $ 45.00. CHEM-ING-TECH 1977. [DOI: 10.1002/cite.330491221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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EINE BYPASS-PUMPE MIT AKTIVEN VENTILEN FÜR STERILE EINMALSCHLAUCHSYSTEME IM EXTRAKORPORALEN KREISLAUF. BIOMED ENG-BIOMED TE 1977. [DOI: 10.1515/bmte.1977.22.s1.315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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[Technical aspects of a diafiltration process (author's transl)]. BIOMED ENG-BIOMED TE 1976; 21:302-6. [PMID: 1000014 DOI: 10.1515/bmte.1976.21.10.302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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HERZENTLASTUNG MIT EINEM SERVOSYSTEM ZUR AUTOMATISCHEN SCHLAG VOLUMENREGELUNG BEIM PULSATI LEN PUMPEN. BIOMED ENG-BIOMED TE 1976. [DOI: 10.1515/bmte.1976.21.s1.243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Water Desalting. VonA. A. Delyannis u.E. A. Delyannis, herausgeg. vom Gmelin-Inst. f. Anorg. Chemie d. Max-Planck-Gesellschaft z. Forderung d. Wissenschaften e. V., Springer-Verlag, Berlin - Heidelberg - New York 1974.8. neu bearb. Aufl., VIII, 339 S. (in engl. Sprache), 62 Abb., geb. DM 520, -. CHEM-ING-TECH 1975. [DOI: 10.1002/cite.330471607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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