Predictive value of physiological capacity and surgical stress scores for perioperative complications in radical resection for colorectal cancer: a propensity-matched analysis

• DOI: 10.62347/jzko9876
• Publication Date: 2025-01-22T09:21:39Z
• Authors: Yue Li
• Keywords: Surgical stress

To investigate the predictive value of physiological capacity and surgical stress scores for perioperative complications in radical resection colorectal cancer (CRC). A retrospective case-control study was performed from October 2021 to 2023 at a single center, involving patients scheduled CRC. Patients were divided into groups with without complications, propensity score matching minimize potential bias clinical confounding variables. General patient data, including demographic information, comorbidities, tumor characteristics, parameters, postoperative recovery, Estimation Physiologic Ability Surgical Stress (E-PASS) scores, collected analyzed. After matching, factors such as age, diabetes, pulmonary disease, heart American Society Anesthesiologists (ASA) grade remained significant predictors (P < 0.05). Prolonged operation, increased blood loss, specific surgery types, emergent surgeries linked higher risk (all P experienced longer hospital stays, adjuvant chemotherapy use, lower quality life Perioperative (PRS), (SSS), composite (CRS) positively correlated incidence 0.001). The AUC values PRS, SSS, CRS 0.848, 0.854, 0.882 respectively, indicating moderate high complications. Physiological E-PASS emerged key