Anastomotic Leakage Probability Score

Variable
Value
Characteristics at Baseline
Yes No
Yes No
Description

defined as weight loss > 5% in 1 month or > 10% in 6 months or by BMI < 18kg/m2 or albumin < 35g/L before the intervention

Oncologic Treatment
Yes No
Description

defined as an association between laparoscopy and thoracotomy or laparotomy and thoracoscopy

Yes No
Description

radio or chemotherapy before intervention

Biological Data at Postoperative Day 5
Description

white-cells count on postoperative day 5

Description

amylase thoracic-drain level on postoperative day 5

Description

C-Reactive Protein (CRP) serum-level on postoperative day 5

Clinical Data at Postoperative Day 5
Yes No
Description

septic inflammatory response syndrome (SIRS) defined as the presence of 2 criterias or more among temperature > 38°C or < 36°C, cardiac frequency > 90/min, respiratory frequency > 20/min or PaCO2 < 32mmHg, and white-cells count > 12G/L or < 4G/L or circulating immature forms.

Description

pain level measured by visual analogue scale on postoperative day 5

Complications Before Postoperative Day 5
Yes No
Description

Acute respiratory distress syndrome was defined with the Berlin criterias (PaO2/FiO2 < 300, respiratory failure should have developed within 1 week, was not fully explained by cardiac failure, and chest imaging should include bilateral opacities not fully explained by effusions, atelectasis or nodules) in the 4 first postoperative days

Yes No
Description

defined as a hemodynamic instability (mean arterial pressure < 65 mmHg) despite of fluid load by crystalloids (35mL/kg) or with arterial lactate > 2mmol/L or which requires the use of vasopressors in the 4 first postoperative days

Yes No
Description

if orotracheal intubation was necessary in the 4 first postoperative days after extubation of the patient

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Result:

Probability of Anastomotic Leakage:
2.88%