6 A STUDY OF PORTSMOUTH-POSSUM SCORING IN PREDICTING MORTALITY AND MORBIDITY IN PATIENTS UNDERGOING MAJOR ABDOMINAL SURGERY
Journal Title: Indian journal of applied basic medical sciences - Year 2018, Vol 20, Issue 31
Abstract
Background: There is a need for an accurate risk scoring system to predict surgical outcomes. POSSUM (Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity) and its modification P-POSSUM use a physiological score and an operative severity score to calculate risks of mortality and morbidity. In present study we have tried to assess the accuracy of P-POSSUM in predicting mortality and morbidity in general surgical patients. Methods: Total 50 Patients, undergoing major general surgical procedures were scored according to their physiological parameters and the intra-operative findings and a final expected mortality rate was calculated using P-POSSUM equation and compared with actual outcomes. Result: The mean P-POSSUM score of the patients, in whom actual morbidity was observed, was found to be 61.82, compared to mean P-POSSUM score in the remaining cases where there was no observed morbidity was 39.51, significantly lower than the previous group (36%). Similarly the mean P-POSSUM score of the patients, in whom actual mortality was observed, was found to be 76.01. Whereas mean P-POSSUM score in the remaining cases where there was no observed mortality was 33.16, significantly lower than the previous group (56%). Conclusion: This study validates the Portsmouth possum scoring system in our setup as a valid means of predicting mortality and morbidity following major surgery. It is a scoring system tailored to assess patients undergoing major surgeries and help in risk assessment of the patients with respect to both mortality and morbidity. Key-words: Portsmouth-Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity, POSSUM, risk scoring, surgical audit
Authors and Affiliations
Dr. Yogesh N Modiya
Keywords
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