Predicting Morbidity and Mortality using POSSUM Scoring in Patients Undergoing Emergency Laparotomy –An Observational Study
Keywords:Emergency laparotomy, POSSUM score, Morbidity, Mortality.
Background: Emergency laparotomy is a lifesaving procedure with a significant risk of mortality and morbidity. Scoring system should be easy to calculate, reliable and applicable to all people undergoing emergency surgery. An accurate prediction of outcome could then be made, allowing the surgical team to present a more informed choice to the patient on treatment options and their likely outcome. This study was conducted to assess the validity of POSSUM scoring in predicting mortality and morbidity in patients undergoing emergency laparotomy. Objective: To evaluate the effectiveness of POSSUM scoring for prediction of mortality and morbidity after emergency laparotomy. Material and methods: The present study was conducted in the Department of General Surgery, Rohilkhand Medical College and Hospital, Bareilly. This was an observational study comprising of 74 patients of 18-65 years of age undergoing emergency laparotomy. Parameters for calculating POSSUM score were retrieved and O:E ratio for Mortality and Morbidity calculated using linear and exponential analysis. Results: The observed and expected morbidity was 37.8% and 39.2% respectively with observed by expected morbidity ratio (O:E) of 0.97. The observed and expected mortality was 14.9% and 47.3% respectively with observed by expected mortality ratio (O:E) of 0.31.Conclusion: POSSUM scoring system has an undeniable advantage in the set up for better patient counselling, improving the surgical outcomes in emergency setting and for better management of limited resources and manpower.
How to Cite
Copyright (c) 2021 Ashish Singh, Rishi Jindal, Abhinav Jauhari, Jagadamba Sharan
This work is licensed under a Creative Commons Attribution 4.0 International License.