{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T02:24:28Z","timestamp":1784859868838,"version":"3.55.0"},"reference-count":10,"publisher":null,"issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The neurological, airway, respiratory, cardiovascular and other, with a subscore of surgical severity (NARCO-SS) is a scoring system which assesses the presence of systemic disease and the risk the operation poses to the patient. A number of patients that undergo major abdominal surgery suffer adverse events. The aim of the study was to determine the reliability of NARCO-SS in predicting peri-operative adverse events and to determine the risk factors for peri-operative adverse events in paediatric patients undergoing elective abdominal surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Prospective cohort study. Consecutively sampled patients from December 2019 to December 2020 were used. Patients scheduled for elective abdominal surgery were scored pre-operatively and end points were; when an adverse event occurred or up to day 30. Analysis of the reliability of the tool, bivariate and multivariate logistics regression was done.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One hundred and nineteen patients were enrolled and 49% of them had adverse events. Both bivariate and multivariate analyses showed no significant association between the NARCO-SS score and the occurrence of adverse events. The area under the receiver operating characteristics curve (area under the curve) of the NARCO-SS for adverse events was 0.518; there was a significant correlation between high scores and mortality. Longer duration of surgery and complex surgery were the risk factors for adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The NARCO-SS score was found to be a poor predictor of adverse events with a fair inter-rater reliability as a scoring tool. Future research could evaluate a modification of neurological and airway categories.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajps.ajps_7_22","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T09:00:57Z","timestamp":1723539657000},"page":"166-171","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The Use of Narco SS Score in Predicting Adverse Events in Children Undergoing Major Elective Abdominal Surgery at The University Teaching Hospital, Lusaka, Zambia"],"prefix":"10.67481","volume":"21","author":[{"given":"Martha","family":"Munkonka","sequence":"first","affiliation":[{"name":"Department of Surgery, School of Medicine, University of Zambia, Lusaka, Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce C.","family":"Bvulani","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, University of Zambia, Lusaka, Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazel","family":"Mumpanshya","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, School of Medicine, University of Zambia, Lusaka, Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mulewa","family":"Mulenga","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, Micheal Chilufya Sata School of Medicine, Copperbelt University, Kitwe, Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"published-online":{"date-parts":[[2024,8,9]]},"reference":[{"key":"R1-20240829","doi-asserted-by":"crossref","first-page":"2017","DOI":"10.1016\/j.jpedsurg.2013.04.017","article-title":"Validation of the pediatric surgical risk assessment scoring system","volume":"48","author":"Wood","year":"2013","journal-title":"J Pediatr Surg"},{"key":"R2-20240829","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1093\/bja\/aeq398","article-title":"Does an objective system-based approach improve assessment of perioperative risk in children?A preliminary evaluation of the 'NARCO'","volume":"106","author":"Malviya","year":"2011","journal-title":"Br J Anaesth"},{"key":"R3-20240829","year":"2018"},{"key":"R4-20240829","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1001\/jama.2013.281053","volume":"310","year":"2013","journal-title":"JAMA"},{"key":"R5-20240829","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1111\/pan.12588","article-title":"Comparison of pediatric perioperative risk assessment by ASA physical status and by NARCO-SS (neurological, airway, respiratory, cardiovascular, other-surgical severity) scores","volume":"25","author":"Udupa","year":"2015","journal-title":"Paediatr Anaesth"},{"key":"R6-20240829","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1093\/bja\/aeh210","article-title":"Anew and feasible model for predicting operative risk","volume":"93","author":"Donati","year":"2004","journal-title":"Br J Anaesth"},{"key":"R7-20240829","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.jamcollsurg.2006.11.011","article-title":"An Apgar score for surgery","volume":"204","author":"Gawande","year":"2007","journal-title":"J Am Coll Surg"},{"key":"R8-20240829","doi-asserted-by":"crossref","first-page":"e20182042","DOI":"10.1542\/peds.2018-2042","article-title":"Predicting postoperative physiologic decline after surgery","volume":"143","author":"Berry","year":"2019","journal-title":"Pediatrics"},{"key":"R9-20240829","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.jss.2018.04.010","article-title":"Increased complications in pediatric surgery are associated with comorbidities and not with Down syndrome itself","volume":"230","author":"Bartz-Kurycki","year":"2018","journal-title":"J Surg Res"},{"key":"R10-20240829","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.urology.2009.08.079","article-title":"Perioperative risk factors for surgical complications in pediatric urology: A pilot study in preoperative risk assessment in children","volume":"76","author":"Freilich","year":"2010","journal-title":"Urology"}],"container-title":["African Journal of Paediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_7_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:49:39Z","timestamp":1782953379000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_7_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ajps.ajps_7_22","relation":{},"ISSN":["0189-6725","0974-5998"],"issn-type":[{"value":"0189-6725","type":"print"},{"value":"0974-5998","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2022-01-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}