Comparison of Physiological and Operative Severity Score for Enumeration of Mortality and Morbidity POSSUM and its Portsmouth Modification P-POSSUM as a tool for prediction of mortality and morbidity in patients undergoing emergency laparotomy
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 7
Abstract
Introduction In the recent era, patient’s surgical outcome has been used as an indicator of patient’s quality of care. A number of scoring systems have been developed to predict the risk of peri-operative morbidity and mortality. Aim of this study was to access and compare POSSUM (Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity) and its Portsmouth modification (P-POSSUM) equation for predicting morbidity and mortality in patients undergoing emergency laprotomy. Material And Methods This prospective, observational study was conducted in SMS Hospital, Jaipur from March 2015 to May 2016. Patients, who underwent emergency laprotomy, were included. All patients were scored depending on their physiological parameters at the time of admission. An operative severity score was calculated based on intraoperative findings and final expected mortality and morbidity rate was calculated. This was compared with observed mortality and morbidity. Patients were followed up for 30 days following the surgery. The risk of morbidity and mortality was calculated using POSSUM and P- POSSUM equations. Results In this study, 75 patients (50%) developed complications and 19 patients (12.6%) expired (observed death). POSSUM equation for mortality estimated 37 deaths with linear method of analysis and 20 deaths with exponential method of analysis. P-POSSUM equation for mortality estimated 19 deaths with linear method of analysis and 20 deaths with exponential method of analysis. Conclusion Exponential method of analysis for POSSUM and linear method of analysis for P-POSSUM scoring system are valid in predicting death of patients undergoing emergency laprotomy.
Authors and Affiliations
Dr. Shalu Gupta
Keywords
Related Articles
- EP ID EP616590
- DOI -
- Views 108
- Downloads 0
A Comparative Study of Hyperbilirubinemia, Elevated C-Reactive Protein and Leucocyte Count as a Predictive Factor for Appendiceal Perforation in Acute Appendicitis.
Background: Appendiceal perforation in patients with acute appendicitis may cause a variety of potentially life-threatening complications. Escherichia coli endotoxin has been shown to impact physiological bile flow in vi...
Epidemiological Anthropometric and Dietary Assessment of Patients with Reflux Symptoms
Aim: To assess epidemiological, anthropometric and dietary factors leading to reflux symptoms in general population Materials and Methods: The study was done among OPD patients between August to October 2015.All patients...
Morphometric Study of Atlas Vertebra in Rewa Region
Introduction: Atlas is the first cervical vertebra. It articulates with the occipital bone above and the axis vertebra below. It plays an important role in movement of the skull and the neck. Atlas vertebra is also an im...
Efficacy of different doses of Dexmedetomidine on hemodynamic response during laparoscopic cholecystectomy under general anaesthesia: A prospective analytical study.
Laparoscopy or keyhole surgery became the gold standard since the introduction of laparoscopic cholecystectomy in mid-eighties, in managing the symptomatic gall stone diseases. Early mobilization, reduced hospital stay a...
A Comparative Study on Variations in Pulmonary Function Test in males of rice mill workers on their smoking habit
Pulmonary diseases are on rise among smokers of rice mill workers. Pulmonary function test is a procedure to evaluate lung diseases. As per the WHO 51% of world populations are smokers and are prone to respiratory disord...