A Study of the Reliability of Surgical Apgar Score in Predicting Post Operative Morbidity and Mortality in Patients Undergoing Laparotomy

Dr Shipra Doda, Dr S. K. Sagar, Dr Anil Negi

Abstract: In my view, predicting surgical outcomes with precision remains a challenge, especially in resource-limited settings. This study evaluates the reliability of the Surgical APGAR Score (SAS) in predicting postoperative morbidity and mortality among patients undergoing laparotomy. Despite advancements in minimally invasive techniques, laparotomy remains a critical procedure, particularly in emergency settings where complications are more frequent. The SAS, derived from intraoperative variables such as heart rate, mean arterial pressure, and blood loss, offers a practical and straightforward method to assess surgical risk. It is evident that patients with a lower SAS face significantly higher rates of morbidity and mortality, with a clear predictive cutoff at ?4 for mortality and ?6 for morbidity. The findings suggest that integrating SAS into routine postoperative assessment could enhance risk stratification, optimize resource allocation, and improve patient monitoring, particularly in high-risk cases. That said, while the SAS is useful, its exclusion of factors like preexisting comorbidities and surgical duration raises concerns about its comprehensiveness. Nonetheless, given its simplicity and effectiveness, this scoring system holds promise for broader clinical application, particularly in healthcare environments with limited resources.

Keywords: surgical APGAR score, laparotomy outcomes, postoperative risk, morbidity prediction, mortality assessment

How to Cite?: Dr Shipra Doda, Dr S. K. Sagar, Dr Anil Negi, "A Study of the Reliability of Surgical Apgar Score in Predicting Post Operative Morbidity and Mortality in Patients Undergoing Laparotomy", Volume 14 Issue 3, March 2025, International Journal of Science and Research (IJSR), Pages: 805-810, https://www.ijsr.net/getabstract.php?paperid=SR25314180054, DOI: https://dx.doi.org/10.21275/SR25314180054