NEW PROPOSAL OF A VALIDATION SCALE MODIFIED FROM SURGICAL APGAR, APPLIED TO ONCOLOGIC PEDIATRIC PATIENTS WITH SOLID PRIMARY EXTRACRANIAL TUMORS TO PREDICT SURGICAL COMPLICATIONS AND THEIR CORRELATION WITH CLAVIEN-DINDO. dra.itzamaramartain@gmail.com

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NEW PROPOSAL OF A VALIDATION SCALE MODIFIED FROM SURGICAL APGAR, APPLIED TO ONCOLOGIC PEDIATRIC PATIENTS WITH SOLID PRIMARY EXTRACRANIAL TUMORS TO PREDICT SURGICAL COMPLICATIONS AND THEIR CORRELATION WITH CLAVIEN-DINDO.

2

Mexico

Oral or Poster

Cancer is one of the leading causes of death in the pediatric population.The study of the main complications will allow for the dismissal of surgical risk complications before and after the surgery is performed, and improve the equipment necessary to attend to this pathology.The APGAR scale is a tool that enhances outcomes and predicts mortality and morbidity in the adult population.There are no surgical scales proposed or validated in the pediatric population to improve his attention and predict outcomes.

Retrospective cohort, with pediatric patients attending a tertiary level in Mexico City, diagnosed with primary extracranial tumors, requiring surgical intervention for their diagnosis and treatment. Between January 2019 and December 2021. Surgical procedures, complications, and outcomes were identified from procedure records. We used descriptive statistics to correlate the incidence of surgical complications and the Clavien-Dindo scale

Eighty-eight patients were included, 43 had abdominal primary tumors with a high incidence of Wilm´s tumor and hepatoblastoma, with the application of the modified APGAR we found high-risk patients were those with Clavien-Dindo III, and hepatic tumors ( P <0.001) 24 of 26 of the patients presented complications during the surgery ( hemorraghic shock requiring intensive care unit stay. Most of the patients increased their risk with surgical time more than 3 hours ( P<0.001)

The APGAR score is a useful tool with good results in pediatric populations, according to our study, allowing for the prediction of high-risk patients according to surgical complications and Clavien-Dindo scale