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Emergency Surgery Score Predicts Morbidity and Mortality in Emergency General Surgery

Authors

  • Tanka Prasad Bohara KIST Medical College Teaching Hospital
  • Ellina Dangol KIST Medical College Teaching Hospital, Imadol, Lalitpur
  • Rupesh Mukhia KIST Medical College Teaching Hospital, Imadol, Lalitpur
  • Mukund Raj Joshi KIST Medical College Teaching Hospital, Imadol, Lalitpur
  • Kamal Koirala KIST Medical College Teaching Hospital, Imadol, Lalitpur
  • Dharana Gelal KIST Medical College Teaching Hospital, Imadol, Lalitpur
  • Rikesh KC KIST Medical College Teaching Hospital, Imadol, Lalitpur

Abstract

Introduction: Emergency surgery (ES) accounts for a substantial number of cases performed by surgeons worldwide. ES is regarded as an independent risk factor for postoperative morbidity and mortality. There are complex scoring systems such as the American Society of Anesthesiologists (ASA) classification, the Physiological and Operative Severity Score for enumeration of Mortality and morbidity (POSSUM), Portsmouth-POSSUM (P-POSSUM) and the Surgical Risk Scale (SRS). scores do not take into consideration high-risk patients undergoing ES and the inherent high risk of ES. Emergency surgery score (ESS) has been derived and validated to predict postoperative morbidity and mortality in ES. We conducted a study to validate the ESS score in patients who underwent emergency general surgery

 

Methods: Patients who had undergone emergency surgery during the study period were included in the study. ESS score was calculated for included patients. ROC curve was plotted to find the correlation of ESS with 30-day mortality and the occurrence of at least one complication.

 

Results: Sixty patients were included in the study. ESS predicted mortality and morbidity with area under curve of ROC 1.0 and 0.684 respectively.

 

Conclusion: ESS predicts postoperative morbidity and mortality in patients undergoing emergency surgery.

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Published

2022-08-08

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How to Cite

Bohara, T. P., Dangol, E., Mukhia, R., Joshi, M. R., Koirala, K., Gelal, D., & KC, R. (2022). Emergency Surgery Score Predicts Morbidity and Mortality in Emergency General Surgery. Journal of KIST Medical College, 4(8), 21–28. Retrieved from https://journal.kistmcth.edu.np/index.php/JKISTMC/article/view/206