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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Study of P‐Possum Score in Management of Patient Undergoing “Gastrointestinal Surgery”

Meghraj J. Chawada, Harish Wasudeo Patond, Akshay Pankaj Dandekar, Sudhir Deshmukh, G.L. Anmod and P.T. Jamdade
Page: 386-391 | Received 12 Sep 2024, Published online: 23 Nov 2024

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https://doi.org/10.36478/makrjms.2024.12.386.391

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Abstract

Immediate surgical intervention for acute abdominal conditions is essential to reduce morbidity and mortality, especially with the increasing gastrointestinal emergencies in tropical regions. While the P‐POSSUM scoring system aids in risk stratification, its effectiveness in developing countries needs validation within a Central Indian population. This prospective study conducted over 18 months in a tertiary care hospital evaluated the P‐POSSUM scoring system in 300 patients undergoing gastrointestinal surgery, excluding those under 15 or over 75 years or unwilling to participate. Data on sociodemographic factors, vital signs, comorbidities and outcomes were collected. The findings showed a mortality rate of 8.33% and a morbidity rate of 56%. The P‐POSSUM scoring yielded an observed to expected (O:E) mortality ratio of 0.78 and a morbidity ratio of 0.92, with no significant differences between predicted and observed values, confirming the scoring system's reliability in this patient population. The P‐POSSUM score is essential for assessing care adequacy in gastrointestinal surgeries, effectively predicting postoperative complications and enhancing surgical audits to improve patient outcomes, warranting further evaluation.

How to cite this article:

Meghraj J. Chawada, Harish Wasudeo Patond, Akshay Pankaj Dandekar, Sudhir Deshmukh, G.L. Anmod and P.T. Jamdade. Study of P‐Possum Score in Management of Patient Undergoing “Gastrointestinal Surgery”.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.386.391
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.386.391