A Comparative Study of P-Possum Vs Apache II Scoring System in Predicting Postoperative Mortality and Morbidity in Gastrointestinal Surgeries

Surgical morbidity and mortality can be avoided or minimized by diligent preoperative evaluation, clinical condition optimization, effective control of anaesthetics and surgery, and adequate postoperative support. There are many available morbidity and mortality predictors (ASA, APACHE, SAPS II). The POSSUM Score uses both a pre-operative assessment of the severity of pre-existing concomitant medical conditions and information collected during the peri-operative period, i.e., the severity of surgical insults, intra-operative blood loss, etc., to predict the post-operative course of patients. The applicability of the POSSUM Score for specific medical conditions has been tested by a variety of tests, and a number of varieties have also arisen, i.e., the P-Possum-Score or the V-POSSUM-Score. The development of APACHE II scoring system for use in intensive care units specifically, in patients it is evident who were undergoing different surgeries, it can predict peri-operative events. This study was undertaken to compare p-possum and APACHE II scoring system for identifying gastrointestinal surgeries outcomes in our setup and, if the outcome is low, what are the different causes for it to be analysed among the group with this high-risk. In our study we found that 11 0ut of 33 (33.3%) patient of age less than 60 years, 4 out of 12 (33.3%) patients of age between 61-70 years and 4 out of 5 (80 %) patients of age more than 70 years expired. Among older adults, the risk of complications and early death after commonly performed abdominal procedures is greater and statistically significant which is similar to previously done studies.