Surgical Apgar Score can accurately predict severity of complications after emergency laparotomy

Results

Out of the 111 patients who underwent emergency laparotomy, 71 (64%) were Male and the median age (IQR) was 49 (36, 59).The mean SAS was 4.86 (± 1.29) and the median CCI (IQR) was 36.20 (26.2, 42.40). Patients in the high-risk SAS group (0–4) were more likely to experience severe and life-threatening complications, with a mean CCI of 53.3 (95% CI: 47.2–63.4), compared to the low-risk SAS group (7–10) with a mean CCI of 21.0 (95% CI: 5.3–36.2). A negative correlation was observed between SAS and CCI, with a Spearman r of -0.575 (p < 0.001) and a regression coefficient b of -11.5 (p < 0.001). The SAS demonstrated good accuracy in predicting post-operative complications, with an area under the curve of 0.712 (95% CI: 0.523–0.902, p < 0.001) on the ROC.

This study has demonstrated that SAS can accurately predict the occurrence of complications following emergency laparotomy at Muhimbili National Hospital.

Reference:

Kyaruzi, V.M., Chamshama, D.E., Khamisi, R.H. et al. Surgical Apgar Score can accurately predict the severity of post-operative complications following emergency laparotomy. BMC Surg 23, 194 (2023). https://doi.org/10.1186/s12893-023-02088-2

Keywords:

Surgical, Apgar, Score, can, accurately, predict, severity, complications, after, emergency, laparotomy, BMC Surgery, Kyaruzi, V.M., Chamshama, D.E., Khamisi, R.H.