Published January 30, 2025
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The Utility of Surgical Apgar score in Predicting Postoperative Morbidity and Mortality in Exploratory Laparotomy Surgery
Authors/Creators
- 1. International Journal of Medical Science and Advanced Clinical Research (IJMACR)
Description
Abstract
Introduction: The Surgical Apgar Score (SAS) is a simple rating system using readily available intraoperative information predicting the patient’s risk for a major complication. It was derived from the intraoperative data to predict morbidity and mortality outcomes after general surgery.
Aims and Objective: To determine the applicability of the Surgical Apgar Score (SAS) in post-operative risk stratification for morbidity and mortality
Primary objectives: To assess the utility of the score in predicting post-operative mortality and morbidity in Elective and Emergency Laparotomy Procedures.
Secondary objective: To assess the use of the surgical Apgar score in postoperative care.
Material and Methods
Study Design: A Prospective observational study.
Study Site: The study will be conducted in the surgery ward in a tertiary health care centre.
Study Population: This study consists of the patient admitted to the surgical ward at the tertiary care Centre to be operated on for elective and emergency exploratory laparotomy.
Study Duration: The study was done between 1st January 2023 to 31st June 2024.
Sampling Method: The sample size is determined by the Complete Enumeration method.
Sample Size: The sample size of 100 patients were included in the study.
Result: 100 patients were operated as an emergency and 66% of the patients are male and 34% are female. SAS scores in this range underwent emergency surgery. This suggests that patients requiring urgent, unplanned surgical interventions are more likely to experience poorer intraoperative physiological conditions.
Discussion: Purpose of this work is to establish the usage of the Surgical Apgar Score in the stratification of the post-operative risks for patients undergoing laparotomy.
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- https://www.ijmacr.com/issue/archive_issue/56
References
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