ROLE OF P-POSSUM SCORE IN PREDICTING THE MORBIDITY AND MORTALITY IN PATIENT UNDERGOING LAPAROTOMY FOR PERITONITIS

Peritonitis is a peritoneal cavity infection, which is a life-threatening condition and if untreated, becomes systemic infection with transmigration of microorganisms. Early diagnosis and intervention results in better outcome and delay will result in high morbidity and mortality. But in few cases persistent intraabdominal sepsis results in multiple organ system failure and suppression of immune system. Even with advanced antimicrobial agents and supportive care, the mortality remains high. Scoring systems provide us with an indispensable tool for triage of critically ill patients and provide a quantitative assessment of the level of seriousness of the disease and will provide a realistic aid to prognosticate and estimate the grade of intervention. An accurate scoring system should be patient specific, should take whether the procedure is elective or emergency and incorporate all the variable presentations. There are several such scoring systems such as APS (Acute Physiology Score), SIS (Surgical Infection Stratification), APACHE, MPI (Mannheim Peritonitis Index), POSSUM and P-POSSUM Scoring systems to stratify the patients with peritonitis. Utilization of scoring systems would be of great help in salvaging a priceless life of a patient. This study is aimed at testing the Role of P-POSSUM score in predicting the morbidity and mortality in patient undergoing laparotomy for peritonitis.