EVALUATION OF P POSSUM EQUATION IN EMERGENCY LAPAROTOMY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 35
Abstract
The Portsmouth modification of Physiological and Operative Severity Score for the enumeration of Mortality and morbidity (P POSSUM) is a scoring system that is used to predict 30 day mortality and morbidity rates in patients who are undergoing surgery. The method is used in predicting mortality and morbidity in patients undergoing surgeries in different departments like V POSSUM for vascular, CR POSSUM for colorectal surgeries. Here we have tried to evaluate P POSSUM equation in predicting mortality and morbidity in patients undergoing emergency laparotomy. During the study period, 72 emergency laparotomies were performed in our hospital .All the consecutive cases were taken for the study. P POSSUM equation was applied to all the patients and the risk of mortality was calculated. The estimated rates were compared with observed rates using linear by linear association of chi-square test. P POSSUM equation clearly predicted mortality rates with linear by linear association of chi square test with P value of ‹0.001. The ROC (Receiver operating characteristic) curve shows the predictive potential of P POSSSUM for mortality with a sensitivity of 100%, specificity of 88.89% and area under the curve 98.1%. The study shows that p possum equation predicts mortality in patients undergoing emergency laparotomies almost same as observed mortality. So if this finding is validated, it can be used in patients undergoing emergency laparotomies.
Authors and Affiliations
Srinath S, Naveen H. M, Suma K. R
Keywords
Related Articles
- EP ID EP148688
- DOI 10.14260/jemds/1196
- Views 99
- Downloads 0
RAISED SERUM LDL IN CHRONIC EXCESS ALCOHOLISM AS A RISK FACTOR FOR STROKE
BACKGROUND As far as ischaemic stroke is concerned, prevention is only facilitated by an understanding of predisposing host, risk and environmental factors. WHO defines stroke as rapidly developed clinical signs of focal...
DIURESIS AND MEDICAL EXPULSION THERAPY WITH EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY FOR CLEARANCE OF RENAL STONE- A CLINICAL STUDY
BACKGROUND Renal stone has a global problem. People of all country of the world more or less suffer from Renal Stone or Urinary Calculus. It is prevalent in about all age and sex groups. It carries significant morbidity,...
NEONATAL DERIVED MESENCHYMAL STEM CELLS CAN BE ISOLATED FROM HUMAN UMBILICAL CORD WHARTON’S JELLY BUT NOT FROM HUMAN UMBILICAL CORD BLOOD
BACKGROUND A successful isolation of Mesenchymal Stem Cells (MSCs) for its clinical application is very important. Isolation of MSCs from neonatal sources like human Umbilical Cord Wharton’s Jelly (hUCWJ) have been repor...
MENSTRUAL PROBLEM AMONG ADOLESCENT GIRLS REGARDING SCHOOL ABSENTEEISM- A CROSSSECTIONAL STUDY
BACKGROUND Menstrual problems in adolescent girls are very common in this age group. Identification of abnormal menstrual problems is essential and correction is needed. In this study, we have attempted to study the freq...
ASSESSMENT OF NUTRITION STATUS IN PREOPERATIVE SURGICAL PATIENT UNDERGOING MAJOR ABDOMINAL SURGERIES AND ITS RELATION TO POSTOPERATIVE OUTCOME
BACKGROUND Abdominal surgery represents a premeditated trauma, which leads to nutritional depletion and its possible related adverse outcomes, especially in malnourished pre-operative patients. Hence, the aim of the stud...