Mrityunjay Mundu1 , Saurav Kumar Singh2 , Nusrat Noor3 , Md. Umar4
BACKGROUND Emergency GI surgeries are the most common surgical procedures done in most of the hospitals and health care centres. These surgeries hold a high risk of mortality and morbidity which can be effectively managed if predicted early. For this, P-POSSUM scoring system has been proved to be highly accurate in an emergency setting. METHODS This study was done in Rajendra Institute of Medical Sciences, Ranchi, over a period of two years, from February 2018 to October 2019. The sample size was 50 which included patients admitted in Emergency Department of RIMS, Ranchi, for emergency GI surgery. Patients with immunocompromised state, diabetes mellitus or of age <12 years and those who failed to follow-up were excluded from the study. RESULTS It was observed that out of 50 cases, intestinal perforation was the most common cause for emergency laparotomy. 36% cases had uneventful post-operative period, while 54% had some sort of complication and 10% died. On analysis of morbidity, the p-value was 0.778 (degree of freedom = 8), hence significant. On analysis of mortality, the p-value was 1.000 (degree of freedom = 8), hence significant. CONCLUSIONS P-POSSUM scoring system is an effective and accurate system for predicting mortality and morbidity in an emergency setting.
