Volume : III, Issue : IX, September - 2013

Surgical Apgar Score Predicts Outcome of Abdominal Surgeries in Indian Setting

Dr. Priyank Chelawat, Dr. Mrs. S. S. Chandorkar

Abstract :

Surgical teams need an objective metric to support their "gut feeling" about surgical outcome. Gawande et al developed a simple, reproducible Surgical Apgar Score (SAS) based on easily available intra–operative parameters to predict the occurrence of major complications. The SAS has been validated in different international settings and has rightly found its place in The WHO guidelines for safe surgery. All the previously available peri–operative scores are not easily calculated or are based on the use of complex investigations or formulae. We prospectively studied 100 patients undergoing abdominal surgeries and calculated their SAS. We studied the outcome of these patients over 30 day period and recorded the occurrence of major complications. Twenty five of 100 patients in our study suffered major complications. We found the SAS to be a significant predictor (p<0.001) and hence, conclude that SAS is a useful metric in prediction of postoperative complications in open abdominal surgeries in Indian settings.  

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Priyank Chelawat, Dr. (Mrs.) S. S. Chandorkar Surgical Apgar Score Predicts Outcome of Abdominal Surgeries in Indian Setting Indian Journal of Applied Research, Vol.III, Issue.IX September 2013

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