Evaluation of Possum and P Possum Scoring Systems in Patients Undergoing Emergency Abdominal Surgeries
Abstract: Background: Emergency abdominal surgeries are critical procedures performed urgently to address life-threatening conditions within the abdomen. These surgeries are often necessitated by acute conditions such as appendicitis, intestinal obstruction, perforated ulcers, or traumatic injuries. The goals of emergency abdominal surgeries include relieving pain, removing damaged tissue or organs, controlling bleeding, and restoring normal function to the abdomen. Recovery can vary widely depending on the severity of the condition and the patient's overall health. POSSUM (Physiological and Operative Severity Score for the enumeration of Mortality and morbidity) and its modified version P-POSSUM are scoring systems used in surgery to predict outcomes based on preoperative risk factors and intraoperative variables. P-POSSUM refines this by adjusting for overestimation biases seen in POSSUM, particularly in lower-risk patients. This study aims to evaluate the efficacy and accuracy of both scoring systems for surgical risk assessment in predicting postoperative mortality and morbidity in patients undergoing emergency abdominal surgeries. Materials and Methods: The study was approved by institutional ethical committee. We retrospectively analysed POSSUM and P-POSSUM in 75 patients undergoing emergency abdominal surgery from April 2023 to April 2024 in RL JALAPPA hospital were evaluated. Physiological scoring was done prior to surgery and operative scoring was performed intra-operatively. The observed mortality rate was then compared with POSSUM and P-POSSUM predicted mortality rates. Results: POSSUM predicted a morbidity rate of 58, whereas the actual morbidity rate was 46 (p
Keywords: Emergency Exploratory laparotomy, POSSUM, P-POSSUM
How to Cite?: Dr. Sanjana GK, Dr. Shashirekha CA, Dr. Krishna Prasad K, "Evaluation of Possum and P Possum Scoring Systems in Patients Undergoing Emergency Abdominal Surgeries", Volume 13 Issue 7, July 2024, International Journal of Science and Research (IJSR), Pages: 477-480, https://www.ijsr.net/getabstract.php?paperid=SR24709012933, DOI: https://dx.doi.org/10.21275/SR24709012933