Surgical Apgar Score: Utility in Predicting Postoperative Outcome in Cases of Exploratory Laparotomy
Nimesh Srivastava
Department of General Surgery, Krishna Institute of Medical Sciences “Deemed to be University”, Karad, Maharashtra, 415110, India.
M. B. Bagawan *
Department of General Surgery, Krishna Institute of Medical Sciences “Deemed to be University”, Karad, Maharashtra, 415110, India.
*Author to whom correspondence should be addressed.
Abstract
Aims and Objective: The aim of this study is to correlate SURGICAL APGAR score in predicting post-operative mortality and morbidity.
Materials and Method: This was a prospective study. All patients fulfilling the inclusion criteria in Krishna institute of medical sciences karad were included in the study which was conducted from December 2019 to July 2021. All patients undergoing exploratory laparotomy were scored according to surgical Apgar scoring system and their score was correlated with post-operative outcome.
Result: In our study, the mean surgical Apgar score among study subjects was 4.68 ±1.67. Majority of the study subjects had surgical APGAR score between 5 to 6 (51.43%), followed by 3 to 4 (28.57%). The p<0.0001 is highly significant in our study. Statistically significant results were seen in the score groups, with score groups of 0-2 showing 7.14%, 3-4 with 2.85%, 5-6 with 1.42%, 7-10 with 0% mortality.
Conclusion: From the study it was concluded that SURGICAL APGAR score is an excellent predictor of post operative outcomes in regard to complications and mortality.
Keywords: Apgar, exploratory laparotomy, morbidity, mortality