Mortality and Morbidity Prediction of P-POSSUM in Open Abdominal Surgeries
Journal Title: New Indian Journal of Surgery - Year 2017, Vol 8, Issue 2
Abstract
Objectives and Background: P-POSSUM (Physiological and operative severity score for the enumeration of mortality and morbidity) predicts mortality and morbidity in general surgical patients providing an adjunct to surgical audit. The Physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) and its modification the Portsmouth POSSUM; have been proposed as a method for standardising patient data so that direct comparisons can be made in spite of differing pattern of referral and population. In this prospective study, P-POSSUM is applied in predicting the mortality and morbidity patients undergoing abdominal surgery. Methods: A total of 130 abdominal surgery were performed. The mortality and morbidity was calculated using P-POSSUM equations. The estimatedrates were compared with observed rates using P-POSSUM equations. The estimated rates were compared with observed rates using both linear and exponential methods of analysis. Results: A total of 21 deaths observed. P-POSSUM with linear method of analysis predicted deaths of 22 with O:E ratio of 0.95, whereas with exponential method it under predicted the death( 16 patients) with O:E ratio of 1.5, which was both clinically and statistically insignificant. With the linear analysis though it was clinically significant, statistically it was insignificant. On analysis of morbidity 81 patients had developed complications, with the predicted value of 86, with O:E ratio0.94, which was clinically significant but statistically insignificant. Interpretation and Conclusion: with linear method for P-POSSUM equation, the scoring systems are valid in predicting details and complications which were comparable to observed mortality and morbidity. However, P-POSSUM scoring system with exponential method over predicted the mortality
Authors and Affiliations
Suresh N. Huchchannavar
Keywords
Related Articles
- EP ID EP470959
- DOI 10.21088/nijs.0976.4747.8217.8
- Views 95
- Downloads 0
To Study Morbidity and Mortality Related to Ileostomy / Colostomy Closure at Medical College, Hospital Bikaner Rajasthan
Background: A Ileostomy/Colostomy is a lifesaving surgery that enables a person to enjoy a full range of activities, including traveling, sports, family life and work, even though they have a stoma and may wear a pouchin...
Paediatric Circumcision with Intravenous (IV) Ketamine, and Penile Block as a Day Care Surgery
Background: Pediatric Circumcision is a common surgical procedure performed all over our country. Penile block is very useful for post operative analgesia in circumscion.Using penile block with Intravenous ketamine and m...
Comparison of Onlay Versus Sublay Mesh Placement in Incisional Hernia Repair: A Prospective Study
Background: Incisional hernia is a common surgical condition with a reported incidence of 2-11% of patients subjected to abdominal operations. Aim: This is a prospective study to compare the differences in the post-opera...
Comparative Study of Fistula in ANO Management by Primary Closure and Open Wound Method
Introduction: Fistula in ano is one of the most common benign anorectal disorder associated with appreciable morbidity and inconvenience to the patient. The chronicity of its symptoms makes an otherwise healthy and activ...
Nail Reconstruction by Nonvascularised Graft from Toe to a Reconstructed Finger –Possible Method of Reconstruction
There are conditions where the nail may be lost. The cosmetic importance of nail is very clear in this case of finger reconstruction. There are may methods to camouflage the defect with synthetic nails and materials. But...