TO STUDY THE INCIDENCE OF SYSTEMIC INFLAMMATORY RESPONSE SYNDROME (SIRS) OUTCOME IN PATIENTS UNDERGOING ELECTIVE OR EMERGENCY SURGERIES

Background: Systemic inflammatory response syndrome is a simple bed side tool to assess the severity of the patient?s disease process which gives the approximate idea about the outcome of the surgical patients. Mortality rate increased progressively as the severity of systemic inflammatory response increased.This study investigated the Incidence of Systemic inflammatory response syndrome (SIRS) outcome in patients undergoing elective or emergency surgeries. Objectives: To study the Incidence of Systemic inflammatory response syndrome (SIRS) outcome in patients undergoing elective or emergency surgeries Methods: This was a prospective study conducted over a period of 2 years at GMC Amritsar. The total of 50 patients undergoing surgical procedures was studied. They were followed up till date of termination with daily SIRS monitoring, development of MODS and MOF.Statistical analysis was based on simple percentages among related variables. Results: Overall incidence of SIRS was 74%. Incidence of SIRS was more in patients undergoing emergency surgery than the patient who underwent elective surgery (43.47%). The difference was statistically significant. (p<0.05). Average SIRS score was higher in emergency surgery group than elective surgery group. Conclusion: SIRS is key pathogenic factor in postoperative morbidity which gives the approximate idea about the outcome of the surgical patients.