Background: Much current interest is focused on the use of the Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM) and the Portsmouth predictor equation (p-POSSUM) for risk-adjusted surgical audit. The Surgical Risk Score (SRS) has been shown to offer an equivalent accuracy, but was validated using a cohort that contained a high proportion of low-risk patients. The aim of this study was to compare the accuracy of mortality prediction using SRS with that of POSSUM and p-POSSUM in a cohort of higher-risk patients. Methods: Some 949 consecutive patients undergoing inpatient surgical procedures in a district general hospital under the care of a single surgeon were analysed. Results: The observed 30-day mortality rate was 8.4 per cent. Mean mortality rates predicted using SRS, POSSUM and p-POSSUM scores were 5.9, 12.6 and 7.3 per cent respectively. No significant difference was observed in the area under the receiver-operator characteristic curves for the three methods. Conclusion: The SRS accurately predicted mortality in higher-risk surgical patients. The accuracy of prediction equalled that of POSSUM and p-POSSUM.
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Univ Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia
Anuar, Abdul Hadi
Hashim, Mohd Nizam
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Univ Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia
Hashim, Mohd Nizam
Zakaria, Zaidi
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Univ Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia
Zakaria, Zaidi
Zain, Wan Zainira Wan
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Univ Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia
Zain, Wan Zainira Wan
Aziz, Syed Hassan Syed Abdul
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Univ Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia
Aziz, Syed Hassan Syed Abdul
Merican, Siti Rahmah Hashim Isa
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Univ Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia
Merican, Siti Rahmah Hashim Isa
Ramely, Rosnelifaizur
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Univ Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia
Ramely, Rosnelifaizur
Mokhter, Wan Mokhzani Wan
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Univ Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia
Mokhter, Wan Mokhzani Wan
Mohamad, Ikhwan Sani
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Univ Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia
Mohamad, Ikhwan Sani
Hayati, Firdaus
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Univ Malaysia Sabah, Fac Med & Hlth Sci, Dept Surg, Kota Kinabalu, Sabah, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia
Hayati, Firdaus
Lah, Nik Amin Sahid Nik
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Univ Malaysia Sabah, Fac Med & Hlth Sci, Dept Surg, Kota Kinabalu, Sabah, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia
Lah, Nik Amin Sahid Nik
Zakaria, Andee Dzulkarnaen
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Univ Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, MalaysiaUniv Sains Malaysia, Sch Med Sci, Dept Surg, Kota Baharu, Kelantan, Malaysia