Comparative analysis of P-POSSUM score at admission and pre-operatively in predicting postoperative mortality in patients undergoing emergency laparotomy

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dc.contributor.authorRoy, Vivek Kumaren_US
dc.contributor.authorRoy, Sukalyan Sahaen_US
dc.contributor.authorKumar, Mukeshen_US
dc.contributor.authorSinha, Saumyaen_US
dc.contributor.authorGopa, Krishnaen_US
dc.date.accessioned2023-07-14T07:56:44Z
dc.date.available2023-07-14T07:56:44Z
dc.date.issued2022-06
dc.description.abstractIntroduction: Laprotomy remains one of the commonest emergency surgical procedure performed worldwide. But over the last few years, various perioperative quality improvement initiatives involving early interventions, intensive postoperative care, and indivisualised care approaches have ensured a decrease in the average mortality rate by 3.8%-8.3. An ideal scoring system should accurately predict outcomes, help determine who deserves more aggressive care, guide in deciding the extensiveness of surgery, and can be used broadly access emergency laprotomies for various disease pathologies. The scoring system should also be capable of analyzing risk adjusted morbidity and mortality amongst various healthcare providers. Aim: To access the accuracy of P-POSSUM score on predicting the mortality and morbidity in emergency laparotomy patients and to establish that the preoperative score is more accurate that admission score. Materials and Methods: 150 Cases of emergency laparotomy in General Surgery Department in IGIMS, Patna from September, 2020 to February, 2022 were taken up in this study. Patients below 18 years, routine surgery and 6 patients who could not be followed up for complete 30 days were excluded. Physiological P-POSSUM was calculated at the time of admission and just before operation, post resuscitation. Operative score was same for both Physiological P-POSSUM scores. Results: Mortality predicted at admission had statistically significant difference and p value was<0 xss=removed>.05. Most common complication was wound infection followed by septicaemia. Conclusion: P-POSSUM is a better predictor of mortality and morbidity in emergency laparotomies when scoring is done preoperatively.en_US
dc.identifier.affiliationsDept. of General Surgery, Indira Gandhi Institute of Medical Sciences,, Patna, Bihar, Indiaen_US
dc.identifier.affiliationsDept .of Pharmacology, Indira Gandhi Institute of Medical Sciences,, Patna, Bihar, India.en_US
dc.identifier.citationRoy Vivek Kumar, Roy Sukalyan Saha, Kumar Mukesh, Sinha Saumya, Gopa Krishna. Comparative analysis of P-POSSUM score at admission and pre-operatively in predicting postoperative mortality in patients undergoing emergency laparotomy. Southeast Asian Journal of Case Report and Review. 2022 Jun; 9(2): 30-34en_US
dc.identifier.issn2319-1090
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219124
dc.languageenen_US
dc.publisherAssociation of Biomedical Scientistsen_US
dc.relation.issuenumber2en_US
dc.relation.volume9en_US
dc.source.urihttps://doi.org/10.18231/j.sajcrr.2022.008en_US
dc.subjectPreoperativeen_US
dc.subjectEmergency laparotomyen_US
dc.subjectPostoperativeen_US
dc.subjectPredictionen_US
dc.subjectMortalityen_US
dc.subjectScoreaen_US
dc.titleComparative analysis of P-POSSUM score at admission and pre-operatively in predicting postoperative mortality in patients undergoing emergency laparotomyen_US
dc.typeJournal Articleen_US
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