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Acta Biomedica Scientia

Volume 4, Issue 3, 2017
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
SURGICAL APGAR SCORE UTILITY AND IN PREDICTING MORBIDITY AND MORTALITY IN INDIAN PATIENTS UNDERGOING LAPAROTOMY
Author
Suresh Buddha
Email
drvrvkk@gmail.com
keyword
Surgical Apgar Score, Mortality and Morbidity, Postoperative
Abstract
Perioperative healthcare teams continue to lack an accurate, objective tool predictive of postoperative complications. A 10- point Surgical Apgar Score (SAS), developed to identify patients at high risk of post laparotomy complications has been retrospectively validated in multiple surgical populations. We sought to prospectively evaluate the ability of this score to predict postoperative complications. This study was approved by the local research ethics board. Prospective observational study. Patients with a lower SAS (<4) had a higher risk of postoperative complications (sensitivity- 94.87%, p=<0.001).In moderate risk group only 2% died and 60% were normal and 37% develop postoperative complications. If score is >8 patient, patient remained normal postoperatively. SAS score is able to find out the postoperative risk at higher sensitivity (though lack of specificity is a drawback in this), lower SAS score is much higher predictive for identifying mortality and morbidity(p<0.05) but medium SAS score indicates morbidity as well as risk of mortality, lower than the high risk score, Among the all parameters Estimated blood loss and Lowest MAP are sensitive indicators. But all the three are statistically significant (<0.05)
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