The value of POSSUM and P-POSSUM as surgical audit tool predicting morbidity and mortality in emergency laparotomy : retrospective review in HUSM 2012-2015

Emergency laparotomy is a surgical procedure of gastrointestinal tract which is potentially life threatening condition that requires prompt investigation and management. It is associated with high rates of morbidity and mortality worldwide. The factors that are responsible for poor outcome are th...

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Main Author:	Anuar, Abdul Hadi
Format:	Thesis
Language:	English
Published:	2017
Subjects:	RC799-869 Diseases of the digestive system Gastroenterology
Online Access:	http://eprints.usm.my/44521/1/Dr.%20Abdul%20Hadi%20Anuar-24%20pages.pdf
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id	my-usm-ep.44521
record_format	uketd_dc
spelling	my-usm-ep.445212020-10-22T03:03:13Z The value of POSSUM and P-POSSUM as surgical audit tool predicting morbidity and mortality in emergency laparotomy : retrospective review in HUSM 2012-2015 2017 Anuar, Abdul Hadi RC799-869 Diseases of the digestive system. Gastroenterology Emergency laparotomy is a surgical procedure of gastrointestinal tract which is potentially life threatening condition that requires prompt investigation and management. It is associated with high rates of morbidity and mortality worldwide. The factors that are responsible for poor outcome are the biological mechanism and quality of surgical care provided. Surgical audit can improve the outcome of this high risk surgery. Risk-adjusted analysis is a widely used in surgical audit. Collecting a risk-adjusted data analysis will provide information that allows identification of area where improvement needed to be made. Various risk prediction model have been developed as surgical audit tool. In United Kingdom (UK), Physiology and Operative Severity Score for the enUmeration of Mortality (POSSUM) and The Portsmouth Physiology and Operative Severity Score for the enUmeration of Mortality (P-POSSUM) risk prediction models are utilized as surgical audit tool for continuous auditing of emergency laparotomy surgery. POSSUM risk prediction models requires physiological and operative parameters to predict the likelihood of a surgical morbidity and mortality. It compares the expected outcome against the observed outcome of the surgery according to the patient risk stratification. Risk-adjusted analysis thus reflects a fair comparative surgical audit. Many studies have validated POSSUM as risk prediction models. However, there are only few POSSUM risk prediction models for emergency laparotomy. The objective of this study is to examine POSSUM and P-POSSUM as surgical audit tools predicting morbidity and mortality in emergency laparotomy in a single tertiary center which possibly valuable to be incorporated into local surgical audit practice. 2017 Thesis http://eprints.usm.my/44521/ http://eprints.usm.my/44521/1/Dr.%20Abdul%20Hadi%20Anuar-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC799-869 Diseases of the digestive system Gastroenterology
spellingShingle	RC799-869 Diseases of the digestive system Gastroenterology Anuar, Abdul Hadi The value of POSSUM and P-POSSUM as surgical audit tool predicting morbidity and mortality in emergency laparotomy : retrospective review in HUSM 2012-2015
description	Emergency laparotomy is a surgical procedure of gastrointestinal tract which is potentially life threatening condition that requires prompt investigation and management. It is associated with high rates of morbidity and mortality worldwide. The factors that are responsible for poor outcome are the biological mechanism and quality of surgical care provided. Surgical audit can improve the outcome of this high risk surgery. Risk-adjusted analysis is a widely used in surgical audit. Collecting a risk-adjusted data analysis will provide information that allows identification of area where improvement needed to be made. Various risk prediction model have been developed as surgical audit tool. In United Kingdom (UK), Physiology and Operative Severity Score for the enUmeration of Mortality (POSSUM) and The Portsmouth Physiology and Operative Severity Score for the enUmeration of Mortality (P-POSSUM) risk prediction models are utilized as surgical audit tool for continuous auditing of emergency laparotomy surgery. POSSUM risk prediction models requires physiological and operative parameters to predict the likelihood of a surgical morbidity and mortality. It compares the expected outcome against the observed outcome of the surgery according to the patient risk stratification. Risk-adjusted analysis thus reflects a fair comparative surgical audit. Many studies have validated POSSUM as risk prediction models. However, there are only few POSSUM risk prediction models for emergency laparotomy. The objective of this study is to examine POSSUM and P-POSSUM as surgical audit tools predicting morbidity and mortality in emergency laparotomy in a single tertiary center which possibly valuable to be incorporated into local surgical audit practice.
format	Thesis
qualification_level	Master's degree
author	Anuar, Abdul Hadi
author_facet	Anuar, Abdul Hadi
author_sort	Anuar, Abdul Hadi
title	The value of POSSUM and P-POSSUM as surgical audit tool predicting morbidity and mortality in emergency laparotomy : retrospective review in HUSM 2012-2015
title_short	The value of POSSUM and P-POSSUM as surgical audit tool predicting morbidity and mortality in emergency laparotomy : retrospective review in HUSM 2012-2015
title_full	The value of POSSUM and P-POSSUM as surgical audit tool predicting morbidity and mortality in emergency laparotomy : retrospective review in HUSM 2012-2015
title_fullStr	The value of POSSUM and P-POSSUM as surgical audit tool predicting morbidity and mortality in emergency laparotomy : retrospective review in HUSM 2012-2015
title_full_unstemmed	The value of POSSUM and P-POSSUM as surgical audit tool predicting morbidity and mortality in emergency laparotomy : retrospective review in HUSM 2012-2015
title_sort	value of possum and p-possum as surgical audit tool predicting morbidity and mortality in emergency laparotomy : retrospective review in husm 2012-2015
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2017
url	http://eprints.usm.my/44521/1/Dr.%20Abdul%20Hadi%20Anuar-24%20pages.pdf
_version_	1747821381161058304

The value of POSSUM and P-POSSUM as surgical audit tool predicting morbidity and mortality in emergency laparotomy : retrospective review in HUSM 2012-2015

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