STUDY OF EPIDEMIOLOGY OF PERFORATIVE PERITONITIS IN A TERTIARY CARE HOSPITAL AND THE ROLE OF POSSUM SCORING IN PREDICTING OUTCOMES.
Journal Title: International Journal of Medical Science and Diagnosis Research (IJMSDR) - Year 2018, Vol 2, Issue 6
Abstract
An observational study was conducted in a tertiary care hospital to assess the efficacy of the Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity (POSSUM) scoring system to predict mortality, morbidity in patients undergoing laparotomy for perforative peritonitis from January 2016 to December 2017. 50 patients meeting the inclusion criteria were included in the study and the results were evaluated using chi-square test, P-value. Several scoring systems (eg, APACHE II, SIRS, multiple organ dysfunction syndrome [MODS], Mannheim peritonitis index) have been developed to assess the clinical prognosis of patients with peritonitis. Most of these scores rely on certain host criteria, systemic signs of sepsis, and complications related to organ failure. Although valuable for comparing patient cohorts and institutions, these scores have limited value in the specific day-to-day clinical decision-making process for any given patient. In our study, age group, sex ratio, presenting complaints, finding on examination, radiological finding, co-morbidities, peritoneal soiling, site of perforation, procedure performed, complications, co-relation between site of complication and perforation, morbidity and mortality rates were taken into consideration and the efficacy of POSSUM was evaluated and was compared with the predicted morbidity and mortality rates. We concluded that POSSUM scoring is effective in predicting the risk of morbidity & mortality in patients undergoing laparotomy for perforative peritonitis. Keywords: Perforative peritonitis. POSSUM, evaluation
Authors and Affiliations
Tuhina Mishra
Keywords
Related Articles
- EP ID EP531927
- DOI -
- Views 84
- Downloads 0
To study the role of x-ray in maxillofacial fractures diagnosis.
Background- Facial injury constitutes a frequent finding among emergency room patients. Methods- This study has been conducted in the Department of dental and radiology, on 30 patients with suspected maxillofacial fractu...
A STUDY OF LIPID PROFILE IN CHRONIC KIDNEY DISEASE PATIENTS
Introduction: Cardiovascular disease (CVD) is a major cause of mortality and morbidity in patients with mild to moderate chronic kidney disease (CKD). Chronic Kidney Disease is a global health problem. In the United Stat...
PROPHYLACTIC VERSUS REGULAR USE OF ANTIBIOTICS IN CESAREAN SECTION
The aim of this study was to compare the prophylactic use of antibiotic verses regular antibiotics in caesarean section. Background: Present study was conducted at Shri Vinoba Bhave Civil Hospital, Silvassa in the depar...
HANGING AND ASPHYXIA: A STUDY IN CCM MEDICAL COLLEGE AND HOSPITAL
Introduction: Hanging is a form of asphyxial death due to constriction of the air passage at the neck, as a result of suspension of the body by a ligature in the form of a noose, applied so that weight of the body acts a...
ASSESSMENT OF IONIZED CALCIUM STATUS IN FEBRILE SEIZURES.
Background- Epilepsy is one of the most common disorders of the brain. Methods- Hospital based Prospective, Analytical, Case – Control study. Results- Mean ionized calcium level was 4.520.24mg/dl and 4.820.28 mg/dl in...