Table 1 Inflammation-based prognostic scores and postoperative pulmonary risk scoring system.
Parameters | Score | ||||
CONUT | 1. Albumin | ≥ 3.50 (0) | 3.00–3.49 (2) | 2.50–2.99 (4) | < 2.50 (6) |
2. Total lymphocyte count, /mL | > 1,600 (0) | 1,200–1599 (1) | 800–1,199 (2) | < 800 (3) | |
3. Total cholesterol, mg/dL | > 180 (0) | 140–180 (1) | 100–139 (2) | < 100 (3) | |
Assessment (1 + 2 + 3) | Normal (0–1) | Mild (2–4) | Moderate (5–8) | Severe (9–12) | |
PNI | Calculation | Score | |||
Albumin (g/L) + 5 × total lymphocyte count/mL ≥ 45 | 0 | ||||
Albumin (g/L) + 5 × total lymphocyte count/mL < 45 | 1 | ||||
GPS | Calculation | Score | |||
C-reactive protein ≤ 10 mg/L and albumin ≥ 35 g/L | 0 | ||||
C-reactive protein ≤ 10 mg/L and albumin < 35 g/L | 1 | ||||
C-reactive protein > 10 mg/L and albumin ≥ 35 g/L | 1 | ||||
C-reactive protein > 10 mg/L and albumin < 35 g/L | 2 | ||||
ARISCAT* | Risk factors | Risk score | |||
Age, year | ≤ 50 (0) | 51–80 (3) | > 80 (16) | ||
Preoperative SpO2, % | ≥ 96 (0) | 91–95 (8) | ≤ 90 (24) | ||
Respiratory infection in last month | No (0) | – | Yes (17) | ||
Preoperative Hb ≤ 10 g/dL | No (0) | – | Yes (11) | ||
Surgical incision site | Peripheral (0) | Upper abdominal (15) | Intrathoracic (24) | ||
Duration of surgery, hours | < 2 (0) | 2–3 (16) | > 3 (23) | ||
Emergency procedure | No (0) | – | Yes (8) | ||
Risk class* | No. of points in risk score (pulmonary complication rate) | ||||
Low | < 26 (1.6%) | ||||
Intermediate | 26–44 (13.3%) | ||||
High | < 44 (42.1%) | ||||