PURPOSE: The aim of this study was to clarify whether a surgical-specific risk scoring system estimating the physiologic ability and surgical stress (E-PASS) score was useful for prediction of postoperative morbidity and mortality. METHODS: The E-PASS score consists of the preoperative risk score (PRS), @entity1642 ( @entity1642 ), and the @entity1650 ( @entity1650 ). Conventional scoring systems [colorectal physiologic and operative severity score for the enumeration of mortality (CR-POSSUM) and the prognostic nutritional index (PNI)] were also examined. We retrospectively compared these scores in @entity1 with or without @entity260 . We assessed the relationship between these scores, clinicopathological features and postoperative mortality. RESULTS: @entity260 developed in 78 @entity1 (33  %). American Society of Anesthesiologists score, performance status, PNI score, PRS, @entity1642 , and @entity1650 were significantly higher in @entity1 with @entity260 than in those without @entity260 (p   <   0.05). The area under the receiver operating characteristic curve (AUC) was highest for E-PASS [E-PASS (PRS, 0.74; @entity1642 , 0.62; @entity1650 , 0.78), PNI (0.62), CR-POSSUM (PS, 0.57; OSS, 0.52)]. Multivariate logistic analysis identified @entity1650   >=    0.2 as a significant @entity260 (p   <   0.01; hazard ratio, 4.84). Overall survival was significantly better in the @entity1650   <   0.2 group than in the @entity1650   >   0.2 group (p   <   0.01). CONCLUSIONS: The E-PASS score system was a useful predictor of @entity260 and mortality, especially in @entity1 with advanced age.

E-PASS score as a useful predictor of @entity260 and mortality after colorectal surgery in elderly XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1650 :: ('MESH:D001308', 'Disease') :: ['comprehensive risk score', 'CRS'] @entity1642 :: ('MESH:D015775', 'Disease') :: ['surgical stress score', 'SSS'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications', 'Postoperative complications', 'determinant of postoperative complications']
@entity1 :: (9606,Species) :: ['patients']
