Abstract

Peritonitis is a peritoneal cavity infection. Early diagnosis and intervention results in better outcome and delay will result in high morbidity and mortality. Scoring systems provide us with an indispensable tool for triage of critically ill patients and provide a quantitative assessment of the level of seriousness of the disease and will provide a realistic aid to prognosticate and estimate the grade of intervention. Aim: This study is aimed at testing the Role of P-POSSUM score in predicting the morbidity and mortality in patient undergoing laparotomy for peritonitis. PATIENTS AND METHODS : Single centre, Prospective observational study done in 40 patients admitted for laparotomy for Peritonitis in General Surgery department, Government Medical College and General Hospital, Kadapa from February 2021 to August 2022. RESULTS: P-POSSUM scoring method was employed to assess these patients on admission (physiological score) and intra-operatively (operative score). The patients were followed up for 4 weeks after surgery for an incident of death or other complications. 24 patients suffered complications and the remaining 16 patients did not show any evidence of complications. 14 out of 24 patients with morbidity experienced multiple complications. The sensitivity of P-POSSUM score in predicting morbidity was found to be 84.7%, while the specificity was 100%. A total of 7 patients died during the post-operative period. The sensitivity of P- POSSUM score in predicting mortality was found to be 98.9%, while the specificity was found to be 100%. Chi Square analysis of the significance of P-POSSUM score to predict morbidity and mortality among our study group patient showed a high level of significance < 0.001 for both mortality and morbidity. CONCLUSION: P-POSSUM score plays a major role in determining the ICU need and overall hospital stay. Greater the P-POSSUM score greater the duration of ICU stay and overall hospital stay.

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