| Perioperative healthcare teams continue to lack an accurate, objective tool predictive of postoperative complications. A 10-
point Surgical Apgar Score (SAS), developed to identify patients at high risk of post laparotomy complications has
been retrospectively validated in multiple surgical populations. We sought to prospectively evaluate the ability of this
score to predict postoperative complications. This study was approved by the local research ethics board. Prospective
observational study. Patients with a lower SAS (<4) had a higher risk of postoperative complications (sensitivity-
94.87%, p=<0.001).In moderate risk group only 2% died and 60% were normal and 37% develop postoperative
complications. If score is >8 patient, patient remained normal postoperatively. SAS score is able to find out the
postoperative risk at higher sensitivity (though lack of specificity is a drawback in this), lower SAS score is much
higher predictive for identifying mortality and morbidity(p<0.05) but medium SAS score indicates morbidity as well as
risk of mortality, lower than the high risk score, Among the all parameters Estimated blood loss and Lowest MAP are
sensitive indicators. But all the three are statistically significant (<0.05)ddd |
