Background: In the era of evidence-based medicine, a sound knowledge of expected complications is essential in surgical practice. Understanding and stratifying patients based on an objective scoring method is imperative in both patient education and surgical team preparedness. Among the variety of scoring systems used to identify the “high-risk” patient, POSSUM scoring is the most widely used.
Methods: This was a descriptive study done on 154 patients who
underwent midline laparotomy in this institute from October 2016 to October
2017. Patients undergoing laparotomy were sampled by using purposive sampling
and their physiological severity score on admission and operative severity
score at the end of 30 days were calculated. The morbidity and mortality rates
were compared with the POSSUM score predicted rates.
Results: In the elective surgery group morbidity rates were higher
in patients with higher POSSUM scores but due to low overall morbidity
conclusions could not be drawn. while in the emergency group, POSSUM-predicted
morbidity correlated well with observed results. The low mortality rates in the
entire study population precluded meaningful analysis.
Conclusion: POSSUM has been proven to be one of the best scoring
systems that could predict morbidity and mortality risk with reasonable
accuracy. POSSUM scoring system has an undeniable advantage in our set-up for
better patient counseling, improving the surgical outcomes in both emergency
and elective wards and better management of limited resources and manpower.
Author
(s) Details
G.V.
Manoharan
Department of General Surgery, Sri Manakula Vinayagar Medical
College & Hospital, Pondicherry 605107, India.
G.
Vijayalakshmi
Department of Surgical Oncology, Government Royapettah Hospital,
Chennai 600014, India.
Please see the book here:- https://doi.org/10.9734/bpi/msti/v1/3210
No comments:
Post a Comment