Key result
The POSSUM scoring system significantly predicted morbidity in patients undergoing midline laparotomy (p<0.001), with predicted complication rates correlating well with observed results, particularly in emergency surgeries.
Why the study?
Predicting complications is essential for surgical risk management, quality of care, and cost reduction, with the POSSUM scoring system being widely used to identify high-risk patients.
Does the POSSUM scoring system accurately predict morbidity and mortality in patients undergoing midline laparotomy?
Observational (n=154)
None
No
Does the POSSUM scoring system accurately predict morbidity and mortality in patients undergoing midline laparotomy?
The POSSUM scoring system is a valid tool for predicting morbidity in patients undergoing emergency midline laparotomy, aiding in risk management and patient counseling.
Answers are grounded in this paper and cite their sources.
May aid morbidity risk stratification in emergency laparotomy; leaves open mortality prediction and needs prospective validation.
Background: Prediction of complications is an essential part of risk management in surgery. Knowing which patient is at risk of developing complications contributes to the quality of surgical care and cost reduction in surgery. Among the variety of scoring systems used to identify the “high risk” patient POSSUM scoring is the most widely used.Methods: Patients undergoing laparotomy were selected serially and their physiological severity score on admission and operative severity scored at the end of 30days and compared with the POSSUM predicted score.Results: In the elective surgery group, patients with morbidity correlated with high POSSUM scores but due to low overall morbidity conclusions could not be drawn while in the emergency group predicted morbidity correlated well with observed results. The low overall mortality in the study group precluded meaningful analysis.Conclusions: POSSUM scoring system has an undeniable advantage in this set up for better patient counseling, improving the surgical outcomes in both emergency and elective wards and for better management of limited resources and manpower.
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Manoharan et al. (2019) conducted an observational in Patients undergoing midline laparotomy (n=154). POSSUM scoring system vs. Observed morbidity and mortality was evaluated on Prediction of post-operative morbidity (p=<0.001). The POSSUM scoring system significantly predicted morbidity in patients undergoing midline laparotomy (p<0.001), with predicted complication rates correlating well with observed results, particularly in emergency surgeries.
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