To study the usefulness of other parameters (Oxygen saturation, Random blood glucose, Serum creatinine, Delay in presentation to Hospital) in assessment of mortality and morbidity risk

Abstract

Background & Method: The study was carried out in the Department of General Surgery, Arogya Sadan Hospital, Jhansi, Uttar Pradesh. Study has included patients those were admitted in the department of Surgery and underwent Exploratory Laparotomy within 24 hours of admission. Result: Average random blood glucose level in patients who died and who survived was 152.8 g/dl and 131.3 g/dl respectively. Average serum creatinine level present in patients survived was 1.67 mg/dl and 2.42 mg/dl in patients who died. Mean oxygen saturation in patients who died and who survived was 94.3% and 96.1% respectively.  Mean delay in presentation to admission in hospital in survival group was 2.04 days and in patients who died was 2.89 days. Conclusion: We concluded that Both serum creatinine level and blood glucose level were high in mortality group, proving it to influence the outcome of surgery. Similarly, Oxygen saturation at the time of induction of anaesthesia and delay in presentation to the hospital, since the initiation of symptoms limits the final outcome.