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@article{Kouli:2022:10.1016/s2589-7500(22)00069-3,
author = {Kouli, O and Murray, V and Bhatia, S and Cambridge, WA and Kawka, M and Shafi, S and Knight, SR and Kamarajah, SK and McLean, KA and Glasbey, JC and Khaw, RA and Ahmed, W and Akhbari, M and Baker, D and Borakati, A and Mills, E and Thavayogan, R and Yasin, I and Raubenheimer, K and Ridley, W and Sarrami, M and Zhang, G and Egoroff, N and Pockney, P and Richards, T and Bhangu, A and Creagh-Brown, B and Edwards, M and Harrison, EM and Lee, M and Nepogodiev, D and Pinkney, T and Pearse, R and Smart, N and Vohra, R and Sohrabi, C and Jamieson, A and Nguyen, M and Rahman, A and English, C and Tincknell, L and Kakodkar, P and Kwek, I and Punjabi, N and Burns, J and Varghese, S and Erotocritou, M and McGuckin, S and Vayalapra, S and Dominguez, E and Moneim, J and Salehi, M and Tan, HL and Yoong, A and Zhu, L and Seale, B and Nowinka, Z and Patel, N and Chrisp, B and Harris, J and Maleyko, I and Muneeb, F and Gough, M and James, CE and Skan, O and Chowdhury, A and Rebuffa, N and Khan, H and Do},
doi = {10.1016/s2589-7500(22)00069-3},
journal = {The Lancet Digital Health},
pages = {e520--e531},
title = {Evaluation of prognostic risk models for postoperative pulmonary complications in adult patients undergoing major abdominal surgery: a systematic review and international external validation cohort study},
url = {http://dx.doi.org/10.1016/s2589-7500(22)00069-3},
volume = {4},
year = {2022}
}

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TY  - JOUR
AB  - BackgroundStratifying risk of postoperative pulmonary complications after major abdominal surgery allows clinicians to modify risk through targeted interventions and enhanced monitoring. In this study, we aimed to identify and validate prognostic models against a new consensus definition of postoperative pulmonary complications.MethodsWe did a systematic review and international external validation cohort study. The systematic review was done in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched MEDLINE and Embase on March 1, 2020, for articles published in English that reported on risk prediction models for postoperative pulmonary complications following abdominal surgery. External validation of existing models was done within a prospective international cohort study of adult patients (≥18 years) undergoing major abdominal surgery. Data were collected between Jan 1, 2019, and April 30, 2019, in the UK, Ireland, and Australia. Discriminative ability and prognostic accuracy summary statistics were compared between models for the 30-day postoperative pulmonary complication rate as defined by the Standardised Endpoints in Perioperative Medicine Core Outcome Measures in Perioperative and Anaesthetic Care (StEP-COMPAC). Model performance was compared using the area under the receiver operating characteristic curve (AUROCC).FindingsIn total, we identified 2903 records from our literature search; of which, 2514 (86·6%) unique records were screened, 121 (4·8%) of 2514 full texts were assessed for eligibility, and 29 unique prognostic models were identified. Nine (31·0%) of 29 models had score development reported only, 19 (65·5%) had undergone internal validation, and only four (13·8%) had been externally validated. Data to validate six eligible models were collected in the international external validation cohort study. Data from 11591 patients were available, with an overall
AU  - Kouli,O
AU  - Murray,V
AU  - Bhatia,S
AU  - Cambridge,WA
AU  - Kawka,M
AU  - Shafi,S
AU  - Knight,SR
AU  - Kamarajah,SK
AU  - McLean,KA
AU  - Glasbey,JC
AU  - Khaw,RA
AU  - Ahmed,W
AU  - Akhbari,M
AU  - Baker,D
AU  - Borakati,A
AU  - Mills,E
AU  - Thavayogan,R
AU  - Yasin,I
AU  - Raubenheimer,K
AU  - Ridley,W
AU  - Sarrami,M
AU  - Zhang,G
AU  - Egoroff,N
AU  - Pockney,P
AU  - Richards,T
AU  - Bhangu,A
AU  - Creagh-Brown,B
AU  - Edwards,M
AU  - Harrison,EM
AU  - Lee,M
AU  - Nepogodiev,D
AU  - Pinkney,T
AU  - Pearse,R
AU  - Smart,N
AU  - Vohra,R
AU  - Sohrabi,C
AU  - Jamieson,A
AU  - Nguyen,M
AU  - Rahman,A
AU  - English,C
AU  - Tincknell,L
AU  - Kakodkar,P
AU  - Kwek,I
AU  - Punjabi,N
AU  - Burns,J
AU  - Varghese,S
AU  - Erotocritou,M
AU  - McGuckin,S
AU  - Vayalapra,S
AU  - Dominguez,E
AU  - Moneim,J
AU  - Salehi,M
AU  - Tan,HL
AU  - Yoong,A
AU  - Zhu,L
AU  - Seale,B
AU  - Nowinka,Z
AU  - Patel,N
AU  - Chrisp,B
AU  - Harris,J
AU  - Maleyko,I
AU  - Muneeb,F
AU  - Gough,M
AU  - James,CE
AU  - Skan,O
AU  - Chowdhury,A
AU  - Rebuffa,N
AU  - Khan,H
AU  - Down,B
AU  - Fatimah,Hussain Q
AU  - Adams,M
AU  - Bailey,A
AU  - Cullen,G
AU  - Fu,YXJ
AU  - McClement,B
AU  - Taylor,A
AU  - Aitken,S
AU  - Bachelet,B
AU  - Brousse,de Gersigny J
AU  - Chang,C
AU  - Khehra,B
AU  - Lahoud,N
AU  - Lee,Solano M
AU  - Louca,M
AU  - Rozenbroek,P
AU  - Rozitis,E
AU  - Agbinya,N
AU  - Anderson,E
AU  - Arwi,G
AU  - Barry,I
AU  - Batchelor,C
AU  - Chong,T
AU  - Choo,LY
AU  - Clark,L
AU  - Daniels,M
AU  - Goh,J
AU  - Handa,A
AU  - Hanna,J
AU  - Huynh,L
AU  - Jeon,A
AU  - Kanbour,A
AU  - Lee,A
AU  - Lee,J
AU  - Lee,T
AU  - Leigh,J
AU  - Ly,D
AU  - McGregor,F
AU  - Moss,J
AU  - Nejatian,M
AU  - O'Loughlin,E
AU  - Ramos,I
AU  - Sanchez,B
AU  - Shrivathsa,A
AU  - Sincari,A
AU  - Sobhi,S
AU  - Swart,R
AU  - Trimboli,J
AU  - Wignall,P
AU  - Bourke,E
AU  - Chong,A
AU  - Clayton,S
AU  - Dawson,A
AU  - Hardy,E
AU  - Iqbal,R
AU  - Le,L
AU  - Mao,S
AU  - Marinelli,I
AU  - Metcalfe,H
AU  - Panicker,D
AU  - R,HH
AU  - Ridgway,S
AU  - Tan,HH
AU  - Thong,S
AU  - Van,M
AU  - Woon,S
AU  - Woon-Shoo-Tong,XS
AU  - Yu,S
AU  - Ali,K
AU  - Chee,J
AU  - Chiu,C
AU  - Chow,YW
AU  - Duller,A
AU  - Nagappan,P
AU  - Ng,S
AU  - Selvanathan,M
AU  - Sheridan,C
AU  - Temple,M
AU  - Do,JE
AU  - Dudi-Venkata,NN
AU  - Humphries,E
AU  - Li,L
AU  - Mansour,LT
AU  - Massy-Westropp,C
AU  - Fang,B
AU  - Farbood,K
AU  - Hong,H
AU  - Huang,Y
AU  - Joan,M
AU  - Koh,C
AU  - Liu,YHA
AU  - Mahajan,T
AU  - Muller,E
AU  - Park,R
AU  - Tanudisastro,M
AU  - Wu,JJG
AU  - Chopra,P
AU  - Giang,S
AU  - Radcliffe,S
AU  - Thach,P
AU  - Wallace,D
AU  - Wilkes,A
AU  - Chinta,SH
AU  - Li,J
AU  - Phan,J
AU  - Rahman,F
AU  - Segaran,A
AU  - Shannon,J
AU  - Zhang,M
AU  - Adams,N
AU  - Bonte,A
AU  - Choudhry,A
AU  - Colterjohn,N
AU  - Croyle,JA
AU  - Donohue,J
AU  - Feighery,A
AU  - Keane,A
AU  - McNamara,D
AU  - Munir,K
AU  - Roche,D
AU  - Sabnani,R
AU  - Seligman,D
AU  - Sharma,S
AU  - Stickney,Z
DO  - 10.1016/s2589-7500(22)00069-3
EP  - 531
PY  - 2022///
SN  - 2589-7500
SP  - 520
TI  - Evaluation of prognostic risk models for postoperative pulmonary complications in adult patients undergoing major abdominal surgery: a systematic review and international external validation cohort study
T2  - The Lancet Digital Health
UR  - http://dx.doi.org/10.1016/s2589-7500(22)00069-3
UR  - https://www.sciencedirect.com/science/article/pii/S2589750022000693?via%3Dihub
UR  - http://hdl.handle.net/10044/1/98249
VL  - 4
ER  -

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