Abstract

The aim of the study is to study the usefulness of other parameters in assessment of mortality and morbidity risk patients undergoing emergency laparotomy. Physiological data were collected at the time of induction of anaesthesia, and operative data were collected at the completion of operation. Operative severity score was graded according to the guidelines. Results: Mean morbidity risk as calculated by POSSUM was 57.82%. Expected and observed morbidity was in 61.86 and 41 patients respectively. 62 patients were having morbidity risk in between 61 to 80%, with mean risk of 69.74% corresponding to expected morbidity in 21.61 patients but 19 patients observed morbidity. 58 patients were present in a morbidity risk group of 21-40% and 41-60% corresponding to expected morbidity in 9.23 and 14.51 patients. Total 2 and 1 patients had complication in each group. 36 patients were present in 81-100% risk group having mean risk morbidity 91.61%. Expected and observed morbidity in this group was 16.48 and 19 patients respectively. Conclusion: POSSUM scoring system can reasonably predicts the morbidity and mortality risk in patients undergoing emergency laparotomy. POSSUM slightly over predicts morbidity in low risk groups. Both serum creatinine level and blood glucose level were high in mortality group, proving it to influence the outcome of surgery.

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