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Prediction of high risk socio-demographic characteristics of patients who underwent Laparotomy in Mulago National Referral Hospital (Uganda), using POSSUM scoring system.| Abstract

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Prediction of high risk socio-demographic characteristics of patients who underwent Laparotomy in Mulago National Referral Hospital (Uganda), using POSSUM scoring system.

Abstract

D.L Kitara, I. Kakande, B.D. Mugisa

Risk management in surgery is very essential. The socio-demographic characteristics of patients who underwent Laparotomy were studied using (POSSUM) scoring systems. The objective of this study was to describe socio-demographic characteristics of patients who underwent Laparotomy in Mulago Hospital and predict the high risk socio-demographic characteristics to mortality. Consecutive patients, who underwent Laparotomy in Mulago Hospital, were studied. The patients were interviewed to obtain their socio-demographic characteristics and this information was entered in to a coded questionnaire designed for management and follow up of patients using POSSUM scoring system. When the patient died, a request was issued and a senior pathologist conducted a postmortem. Gross abnormalities and histology results were made. Any complications observed were investigated, treated and followed up. Phone contacts and surgical review once a week at the Hospital was used to obtain and record data of each patient. Most socio-demographic characteristics did not significantly determine the outcomes (morbidity and mortality) except for the occupation (civil servant) and the Cormorbid condition (Diabetes Mellitus) which significantly determined the risk of mortality in the study population. Occupation (Civil service) and comorbidity (Diabetes Mellitus) increased the risk of mortality.

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