European Journal of Molecular & Clinical Medicine

Abstract

Background and Objectives: This was an observational prospective study to predict the accuracy of PESAS score in detecting the outcome of emergency abdominal surgeries.
Materials and Methods: This study consisted of 80 selected patients admitted with features suggestive of Acute Abdomen in Krishna hospital, Karad from January 2021 to June 2022(18 Months).All the patients were graded based on the PESAS scoring system. The collected data was coded and put into a Microsoft Excel Worksheet. The statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) version 21 for Windows. Data were expressed as frequency and proportions were reported for categorical variables. The p-value < 0.05 was considered statistically significant using Chi- square test. The test were two tailed and 95% confidence interval and an alpha level of 5% and a probability value of <0.050 was considered as statistically significant.
Results: A total of 80 patients were selected for the study.69 patients had a score of less than 8 out of which all 69 survived and there were no non-survivors.6 patients had a score between 9 and 12 out of which 1 survived and 5 did not survive.5 patients had a score between 13 and 15 out of which none survived and 5 died.Patients with a score of 8 and <8 had a 100% survival rate.Patients with score between 9 and 12 had a 16.66% survival rate.Patients with a score between 13 and 15 had a 0% survival rate.
Conclusion: The PESAS score is a good pre-operative bed side tool to have for a surgeon so as to help him/her in assessing a patient prior to surgery and deciding the amount of care and extra attention that the patient needs.It also gives the surgeon the advantage of categorising patients in a stepladder format such that patients higher up the ladder are monitored extensively than the patients lower down the ladder.It also helps the surgeon in preoperative counselling of the patient’s relatives about the outcome of the surgery and the degree of risk involved intra-operatively.