UTILITY OF SURGICAL APGAR SCORE TO PREDICTPOSTOPERATIVE MORBIDITY AND MORTALITY IN LAPAROTOMY PATIENTS - A PROSPECTIVE STUDY

Background:This Ten-point Surgical Apgar Score also known as the SAS score predicts postoperative mortality and morbidity in patients undergoing laparotomy. Method:50 laparotomy surgery were enrolled. 42 of these emergency surgeries forintestinal obstruction,perforationperitonitis, subacute intestinal obstruction,penetrating injury,blunt injury to abdomen, ovarian cyst rest.8 cases elective surgeries. The (SAS) was calculated intra-operatively based on estimated blood loss, lowest mean arterial pressure heart rate. Post-operative complications recorded. Results:In our study 10 out 12 high-risk group developed complications. In other words, 83.34%developed complications.7 of18 belonging medium-risk which is 38.8%.Only 5 20 low-risk suffered from 75% groups did not have any major following surgery. This statistically significant with a p-value 0.04. Conclusions:In situation, still considerably high related mortality. excellent at classifying risk complication laparotomyusing straightforward highly varying intraoperative measurements. alarms surgeon empowers him take proactive action19.