POSSUM scoring in hollow viscus perforation at National Medical College and Teaching Hospital, Nepal

Authors

  • Sanju Ghimire Department of Surgery, B. P. Koirala Institute of Health Science, Dharan, Sunsari, Nepal
  • K. N. Singh Department of Surgery, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal
  • M. Shahid Alam Department of Surgery, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal

DOI:

https://doi.org/10.18203/2349-2902.isj20233671

Keywords:

Hollow viscus perforation, POSSUM score, Mortality, Morbidity, Peritonitis

Abstract

Background: Peritonitis as a result of hollow viscus perforation is a common condition in developing countries like Nepal where post-operative period is unpredictable even if patient reaches hospital in time and being operated. Physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) helps to identify patients at increased risk of developing deaths and complications. It is based on 12 physiological and 6 operative parameters.

Methods: A total of 50 patients of hollow viscus perforation admitted and operated at National Medical College and Teaching Hospital Birgunj, Nepal from July 2020 to June 2021 were included in study. It was a prospective observational study.

Results: During the study 9 patients died and the observed to expected ratio (O: E) 0.3 was obtained. Out of 41 patients who survived 28 suffered complications an observed to expected ratio (O: E) of 0.68 was obtained.

Conclusions: POSSUM scoring system is reliable for predicting post-operative morbidity and mortality and helps to improve prognosis of patients operated for perforated hollow viscus.

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Published

2023-11-28

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Original Research Articles