Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11849
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dc.contributor.authorParry, Sen
dc.contributor.authorDenehy, Lindaen
dc.contributor.authorBerney, Susan Cen
dc.contributor.authorBrowning, Len
dc.date.accessioned2015-05-16T01:28:42Z-
dc.date.available2015-05-16T01:28:42Z-
dc.date.issued2013-08-16en
dc.identifier.citationPhysiotherapy 2013; 100(1): 47-53en
dc.identifier.govdoc23958308en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/11849en
dc.description.abstract(1) To determine the ability of the Melbourne risk prediction tool to predict a pulmonary complication as defined by the Melbourne Group Scale in a medically defined high-risk upper abdominal surgery population during the postoperative period; (2) to identify the incidence of postoperative pulmonary complications; and (3) to examine the risk factors for postoperative pulmonary complications in this high-risk population.Observational cohort study.Tertiary Australian referral centre.50 individuals who underwent medically defined high-risk upper abdominal surgery. Presence of postoperative pulmonary complications was screened daily for seven days using the Melbourne Group Scale (Version 2). Postoperative pulmonary risk prediction was calculated according to the Melbourne risk prediction tool.(1) Melbourne risk prediction tool; and (2) the incidence of postoperative pulmonary complications.Sixty-six percent (33/50) underwent hepatobiliary or upper gastrointestinal surgery. Mean (SD) anaesthetic duration was 377.8 (165.5) minutes. The risk prediction tool classified 84% (42/50) as high risk. Overall postoperative pulmonary complication incidence was 42% (21/50). The tool was 91% sensitive and 21% specific with a 50% chance of correct classification.This is the first study to externally validate the Melbourne risk prediction tool in an independent medically defined high-risk population. There was a higher incidence of pulmonary complications postoperatively observed compared to that previously reported. Results demonstrated poor validity of the tool in a population already defined medically as high risk and when applied postoperatively. This observational study has identified several important points to consider in future trials.en
dc.language.isoenen
dc.subject.otherAbdominal surgeryen
dc.subject.otherPhysiotherapyen
dc.subject.otherPostoperative careen
dc.subject.otherPulmonary complicationsen
dc.subject.otherRisk predictionen
dc.subject.otherAgeden
dc.subject.otherAustraliaen
dc.subject.otherComorbidityen
dc.subject.otherDigestive System Surgical Procedures.adverse effectsen
dc.subject.otherFemaleen
dc.subject.otherHealth Behavioren
dc.subject.otherHumansen
dc.subject.otherIncidenceen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherPostoperative Complications.epidemiologyen
dc.subject.otherRespiratory Tract Diseases.etiologyen
dc.subject.otherRisk Assessmenten
dc.subject.otherRisk Factorsen
dc.subject.otherTertiary Care Centersen
dc.titleClinical application of the Melbourne risk prediction tool in a high-risk upper abdominal surgical population: an observational cohort study.en
dc.typeJournal Articleen
dc.identifier.journaltitlePhysiotherapyen
dc.identifier.affiliationDepartment of Physiotherapy, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, Alan Gilbert Building, Level 7, 161 Barry Street, Carlton 3053, VIC, Australiaen
dc.identifier.doi10.1016/j.physio.2013.05.002en
dc.description.pages47-53en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/23958308en
dc.contributor.corpauthorAustin Health Post-Operative Surveillance Team (POST) Investigatorsen
dc.type.austinJournal Articleen
item.grantfulltextnone-
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
crisitem.author.deptPhysiotherapy-
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