Comparative analysis of APACHE-II and P-POSSUM scoring systems in predicting postoperative mortality in patients undergoing emergency laparotomy.

ABSTRACT:

Background

Laparotomy remains one of the commonest emergency surgical procedures. Early prognostic evaluation would aid in selecting the high-risk patients for an aggressive treatment. Awareness about risks could potentially contribute to the quality of perioperative care and optimum utilization of resources. Portsmouth modification of Physiological and operative severity for the enumeration of mortality and morbidity (P-POSSUM) and the acute physiology and chronic health evaluation II (APACHE-II) have been the most widely used scoring systems for emergency laparotomies. It is always better to have a single scoring system to predict outcomes and audit healthcare organizations.

Aim

To compare the ability of APACHE-II and P-POSSUM to predict postoperative morbidity and mortali

SUBMITTER: Nag DS 

PROVIDER: S-EPMC6718800 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature