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Surgical Risk Scale (SRS) : An Effective Tool For Mortality Prediction in Surgical Patients
Surgical Risk Scale (SRS) : An Effective Tool For Mortality Prediction in Surgical Patients
Surgical Risk Scale (SRS) : An Effective Tool For Mortality Prediction in Surgical Patients
DEPARTMENT OF SURGERY,
Pakistan Institute of Medical Sciences (PIMS), Islamabad.
Presented at: Meeting of the Society of Surgeons / Islamabad and
Rawalpindi chapter
♦ September 17, 2005.
WHY DO WE WANT
RISK ASSESSMENT
IN OUR PATIENTS ?
SCORING SYSTEMS FOR
RISK ASSESSMENT :
1) Disease specific scoring
systems.
2 ) Generic scoring systems.
APACHE , POSSUM etc.
SRS SCORING SYSTEM :
1) ASA grade
2) BUPA =
3) CEPOD =
OUR STUDY
Study design : Descriptive study.
Place : Department of Surgery, PIMS.
Duration : Sept. 2004 to Feb. 2005.
Sample size : 300 patients.
Inclusion criteria : ………………
Exclusion criteria :
Children < 14
Pts managed conservatively
Procedure : ……………………..
AGE DISTRIBUTION (n=300)
100
80
60
No.
40
20
0
14- 21- 31- 41- 51- 61- 71-
20 30 40 50 60 70 80
AGE
SEX DISTRIBUTION (n=300)
Male
40%
Female
60%
0
10
20
30
40
50
He
Ap r nia
60 55
pe
T h nd .
yr
oid
.
43 40
La
T u p.
38
be
T.
M
17
RM
He
m
Ile rd.
o.
Re
C v.
M ho
i sc l e
.M .
M
13 11 10 10
isc ajo
.M r
18
ino
r
45
INTERVENTIONAL PROCEDURES ( n=300 )
SRS SCORES AND MORTALITIES AMONG THE PATIENTS (n=300)
3 40 (13.33) Nil
4 25 (08.33) -
5 24 (8.00) -
6 67 (22.33) -
7 73 (24.33) -
8 23 (7.66) -
9 8 (2.66) -
10 24 (8.00) 2 (8.3%)
11 9 (3.00) 2 (22.22%)
12 4 (1.33) 2 (50 %)
13 3 ( 1.00) 3 (100 %)
14 Nil Nil
RELATIONSHIP B/W SRS SCORE AND MORTALITY
100
80
60
40
20
0
1
11
13
CONCLUSION
THANK YOU