Table 1 Criteria for a positive POMS score
From: How efficient is patient discharge following lower limb arthroplasty?
| Variable | Criteria for positive result |
|---|---|
| Pulmonary | Requires supplementary oxygen or ventilatory support |
| Infection | Currently on antibiotics or temperature >38°C in the last 24 hours |
| Renal | Oliguria (<500 ml/day), elevated creatinine (>30% pre-op level), catheter in situ (for non-surgical reason) |
| Gastrointestinal | Unable to tolerate enteral diet for any reason |
| Cardiovascular | Diagnostic tests or treatment within the last 24 h for: myocardial infarction, hypotension (requiring pharmacological therapy or fluids >200 ml/h), atrial/ventricular arrhythmia or cardiogenic pulmonary oedema |
| Central nervous system | Presence of new focal deficit, coma, confusion or delirium |
| Wound complications | Wound dehiscence requiring surgical exploration or drainage of pus from operative wound with or without isolation of organisms |
| Haematological | Requirement of blood transfusion, platelets, fresh frozen plasma, or cryoprecipitate within the last 24 h |
| Pain | Wound pain requiring parenteral opioids or regional anaesthesia |