Roles in predicting the prognosis of APACHE II, SAPS II scoring systems and CRP albumin ratio in postoperative surgery oncology patients

In this study, the records of 158 patients who were operated on due to gastrointestinal tract malignancy between 2019-2023 and were admitted to the postoperative intensive care unit were examined, and the role of APACHE II, SAPS II scoring systems and CRP/Albumin ratio in predicting the prognosis were evaluated. Taking into account factors such as the demographic data of the patients, the presence of additional disease, additional resection status, the patients were divided into 3 main groups as exitus, intensive care unit hospitalization period and total postoperative hospital hospitalization period. In the group with exitus; age, intensive care unit hospitalization time, 2nd intensive care unit hospitalization, presence of additional resection, continuation of the need for mechanical ventilation for the first 24 hours, APACHE II and SAPS II scores were found to be significantly higher. In the group with an intensive care unit hospitalization period of >3 days, additional disease rate, 2nd intensive care unit hospitalization, presence of additional resection, continuation of mechanical ventilation need, exitus rate, APACHE II and SAPS II scores were significantly high. In the group with a total postoperative hospital hospitalization period of >14 days, the rate of age, additional resection, duration of preoperative hospital stay, 2nd intensive care unit hospitalization and intensive care unit hospitalization period >3 days was significantly higher. On the other hand, the CRP, albumin and CRP/Albumin ratio were not associated with the prognosis. As a result, it was found that the APACHE II and SAPS II scoring systems in this specific patient group were effective in predicting the prognosis, but the CRP/Albumin ratio was not a prognosis-determining indicator. Our study found that scoring systems in surgical oncology patients can be an important guide in assessing the prognostic value of patients as well as their general condition and complication risks.