Evaluation of possum score for outcome prediction in patients undergoing emergency midline laparotomy in tertiary health care center of central India: A prospective observational study

Reduction in morbidity and mortality is the basic and ultimate aim of any surgical intervention whether it is emergency or elective procedure, which must be determined to cause evolution and help in faster adaptation of more effective treatment regimens. Surgical audit being one the most important factor in public health sector in terms of patient care management and legal issues numerous scoring system have been developed for it such as POSSUM (Physiological and Operative Severity Scoring system for the en Umeration of Morbidity and mortality) for observed and expected adverse outcome rates of surgical procedures. Emergency midline laparotomy is a common procedure having mortality rate considerably greater than that of elective laparotomy. So in Indian scenario we found that there is need to validate the POSSUM scoring system as delayed presentation and limited resources majorly affect the outcome and also the quality care provided by any health care system. This study was undertaken to assess the validity of POSSUM scoring system in patients undergoing emergency midline laparotomy in our setup in