Surgical Apgar Score, Predictor of Post-Emergency Abdominal Surgery OutcomeShameem Unnisa Shaikh and Md Jawed Akther*
Department of Surgery, Mamata Medical College, Khammam, Telangana, India
- *Corresponding Author:
- Md Jawed Akther
Professor, Department of Surgery
Flat–102, Penna Apartment
Mamata General Hospital Campus
Opposite Rotary Nagar
E-mail: [email protected]
Received Date: October 24, 2016; Accepted Date: November 15, 2016; Published Date: November 22, 2016
Citation: Shaikh SU, Akther MJ. Surgical Apgar Score, Predictor of Post-Emergency Abdominal Surgery Outcome. Journal of Surgery [Jurnalul de chirurgie]. 2016; 12(4):141-145 DOI: 10.7438/1584-9341-12-4-2
Copyright: © 2016 Shaikh SU, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The surgical team always tries to provide consistently low incidence of major complications for patient undergoing any operation. Recognizing patients at high risk of developing a complication will contribute substantially to quality of operation and of cost reduction in surgery. In operating room, surgical apgar score (SAS) has helped surgeons for objective assessment of the operative course for postoperative prognostication instead of their "gut- feeling". Here we prospectively evaluated postoperative complications according to SAS. This was a hospital based, single centre longitudinal prospective observational study from October 2014 to March 2015 including 66 patients. There was significant association between type of risk group according to SAS and occurrence of complication (P<0.001). Again, patient more prone to develop major complications including mortality in 30 day follow up had low mean SAS. Mean ASA was found to be inversely proportional to SAS. Increase in SAS was proved to be associated with good prognosis (P<0.0001). Thus, it was proven that SAS was significant predictor of outcome in terms of postoperative major complications including mortality in 30-day post emergency surgeries under general anaesthesia.