ArticleJournal of the West African College of Surgeons
Predicting Major Complications Following Laparotomy for Gastrointestinal Conditions Using Surgical Apgar Score: A Prospective Analysis in a Nigerian Population.
Article in Journal of the West African College of Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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- Effects of amniotomy combined with oxytocin on cervical ripening and neonatal outcome in patients with oligohydramnios in late pregnancy.American journal of translational research · 2025Article
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5 authors at 2 institutions in 1 country.
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Abstract
Background: Surgical Apgar score (SAS) is one of the risk assessment tools used in predicting postoperative complications. It is a simple and inexpensive tool composed of three intra-operative variables; lowest heart rate, lowest mean arterial blood pressure, and estimated blood loss, which are scored with a total of 10 points, based on which patients are risk stratified for developing post-operative complications. SAS was found to have good predictive accuracy for post-operative morbidity and mortality. The main objective of this study was to determine the efficacy of SAS in predicting major complications following laparotomy for gastrointestinal conditions. Materials and Methods: The study was a prospective observational study, conducted in Aminu Kano Teaching Hospital, Kano, Nigeria. Eighty-three adult patients, who required laparotomy for gastrointestinal conditions were recruited. Data was collected using proforma, and patients were followed up for 30 days. The intra-operative parameters for SAS were scored, and according to the scores, patients were risk stratified for developing post-operative complications. The data were analyzed; sensitivity, specificity, and accuracy of the SAS were determined. Results: A total of 83 patients were recruited in the study. About half (44.6%) of the patients developed major post-operative complications and a mortality rate of 7.2%. Most of the patients that died had low SAS. The sensitivity, specificity, accuracy, and AUC of SAS found were: 83.8%. 47.8%, 63.9% and 0.74 (95% CI; 0.63-0.84, Conclusion: This study revealed that SAS is efficacious in predicting major complications following laparotomy for gastrointestinal conditions.
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