Evaluation of POSSUM Score for Outcome Prediction in Patients Undergoing Emergency Laparotomy
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Date
2018-07
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Society for Health Care & Research Development
Abstract
Background: Emergency Laparotomy is one of the most common surgical procedures performed in Surgical Emergencies, which leads to significant mortality and morbidity. The aim of this study was to evaluate the patients undergoing emergency midline laparotomy, utilizing POSSUM scoring system to help to predict morbidity and mortality in patients, and assuring improved management in present setup. Methods: Total 104 consecutive patients underwent emergency midline laparotomy over a period of two years were included in this prospective study. Surgical outcome was assessed and compared with POSSUM scoring system. The relevant data was recorded on predesigned proforma and analysed. Results: We studied 104 emergency midline laparotomy patients, which resulted in 15 deaths (14.4% Mortality rate). On applying POSSUM, we found that the expected number of deaths for our study group was 24 (O: E= 0.63), relationship was statistically significant. Observed morbidity was 61 (58.65%). On applying POSSUM we found that the expected number of morbidity for our study group was 65 (O: E= 0.93), relationship was statistically significant. Conclusion: The present study validates that the POSSUM is an accurate scoring system for predicting postoperativeadverse outcome among patients undergoing major general surgeries in present setup.
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Rana Dheer Singh, Singh Abhilash, Gupta Prakhar, Singh Vikas, Bandyopadhyay Gargi. Evaluation of POSSUM Score for Outcome Prediction in Patients Undergoing Emergency Laparotomy. Annals of International medical and Dental Research. 2018 Jul; 4(4): 1-5