Evaluation of POSSUM scoring system in patients with perforation peritonitis

Kumar, Amarnath; Suman, Shilpi; Kundan, Kundan; Kumar, Pawanjeet

doi:10.18203/2349-2902.isj20163597

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…Both the POSSUM and P-POSSUM predicted morbidity and mortality rates were more than the observed ones and were statistically significant (p < 0.05). However, in a study by Amarnath Kumar et al [ 27 ], observed-to-expected mortality and morbidity ratios were 1.005 and 1.001, respectively, and there was no statistically significant difference between the observed and predicted values. Similar findings were noted in other studies [ 4 , 7 ].…”

Section: Discussionmentioning

confidence: 96%

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Use of POSSUM (Physiologic and Operative Severity Score for the Study of Mortality and Morbidity) and Portsmouth-POSSUM for Surgical Assessment in Patients Undergoing Emergency Abdominal Surgeries

Shekar¹,

Debata²,

Debata³

et al. 2023

Cureus

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Introduction:The POSSUM (Physiologic and Operative Severity Score for the Study of Mortality and Morbidity) and Portsmouth-POSSUM (P-POSSUM) models have been popularly recommended as appropriate for predicting postoperative mortality and morbidity in surgical practice. 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.Methodology: The study was conducted as a part of a post-doctoral fellowship program. A total of 150 patients, undergoing emergency abdominal surgery in a tertiary care hospital in Bhubaneswar, were evaluated using POSSUM and P-POSSUM. Physiological scoring was done prior to surgery and operative scoring was performed intra-operatively. Patients were followed up for 30 days after the operative period. The observed mortality rate was then compared with POSSUM and P-POSSUM predicted mortality rates.Results: POSSUM predicted a morbidity rate of 116, whereas the actual morbidity rate was 92 (p < 0.05). P-POSSUM predicted a morbidity rate of 109, whereas the actual morbidity rate was 92 (p < 0.05). POSSUM predicted a mortality rate of 23, whereas the actual mortality rate was 21 (p < 0.05). P-POSSUM predicted a mortality rate of 25, whereas the actual mortality rate was 21 (p < 0.05).Conclusions: With a reasonably good prediction of morbidity and mortality rate, POSSUM and P-POSSUM scores are both effective scoring systems in clinical practice for use in abdominal surgery.

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Section: Discussionmentioning

confidence: 96%

“…In the present study, the mortality rate was 19%. In a study by Amarnath Kumar et al [ 27 ], out of 50 patients studied, there was a crude mortality rate of 18%. Of the 41 alive patients, 25 had at least one complication, amounting to 61% of the crude morbidity rate.…”

Section: Discussionmentioning

confidence: 99%

Use of POSSUM (Physiologic and Operative Severity Score for the Study of Mortality and Morbidity) and Portsmouth-POSSUM for Surgical Assessment in Patients Undergoing Emergency Abdominal Surgeries

Shekar¹,

Debata²,

Debata³

et al. 2023

Cureus

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“…Sample size was calculated by using the WHO sample size calculator by using population prevalence proportion of mortality in laparotomy as 18%. 11 written informed consent was taken from all the patients. All patients were male as female patients have separate wards.…”

Section: Introductionmentioning

confidence: 99%

Mortality in Patients Undergoing Emergency Laparotomy and its comparison with Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity Scoring

Akhtar,

Ammad-ud-din Nasir

et al. 2023

PAFMJ

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Objective: To evaluate the role of physiological and operative severity score for the enumeration of mortality and morbidity in predicting mortality in patients undergoing emergency laparotomy. Study Design: Prospective Comparative study. Place and Duration of Study: General Surgical Ward 1 and 2, Combined Military Hospital, Rawalpindi, from Jan to Aug, 2018. Methodology: Adult patients between 12 and 60 years of age admitted from Emergency Department in Surgical ward who underwent emergency laparotomy within 48 hours of admission were enrolled in the study. Physiological and operative scores were measured for Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity and predicted mortality calculated. Patients were stratified into three groups according to the predicted mortality. Patients were then followed up 30 days post-operatively and mortality noted. Observed to predicted (O:P) mortality was calculated. Results: A total of 94 patients were enrolled out of which 85 were followed up. All patients were male with a mean age of 56.5±16 years. Most common indication for surgery was intestinal obstruction and gut perforation. Mean duration of admission was 7.97±3.5 days. Out of 85 patients 13 patients died within 30 days of surgery which equals a crude mortality rate of 15.2%. Observed to predicted mortality ratio (O:P) was 0.65. Conclusion: Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity slightly overpredicted the mortality in or study. Still it is a useful tool in risk stratification of patients according to expected outcome and...

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Comparative study between P- POSSUM and Apache II scores in predicting outcomes of perforation peritonitis: Prospective observational cohort study

Yelamanchi

Gupta

Durga

et al. 2020

International Journal of Surgery

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Evaluation of POSSUM scoring system in patients with perforation peritonitis

Cited by 3 publications

References 13 publications

Use of POSSUM (Physiologic and Operative Severity Score for the Study of Mortality and Morbidity) and Portsmouth-POSSUM for Surgical Assessment in Patients Undergoing Emergency Abdominal Surgeries

Use of POSSUM (Physiologic and Operative Severity Score for the Study of Mortality and Morbidity) and Portsmouth-POSSUM for Surgical Assessment in Patients Undergoing Emergency Abdominal Surgeries

Mortality in Patients Undergoing Emergency Laparotomy and its comparison with Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity Scoring

Comparative study between P- POSSUM and Apache II scores in predicting outcomes of perforation peritonitis: Prospective observational cohort study

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