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POSSUM Scoring System for Surgical Audit

Purpose: To use the POSSUM score to estimate morbidity and mortality in patients undergoing surgery.

Evaluation

Are you evaluating a patient who has or will undergo a surgical operation?

Age of the patient

years

Systolic blood pressure prior to surgery

mm Hg

Admission heart rate

beats per minute

Admission Glasgow coma score (enter from 3 to 15)

Preoperative hemoglobin

White blood cell count prior to surgery

Preoperative urea

Preoperative serum sodium

Preoperative serum potassium

Number of separate procedures performed during the operation

Total blood loss during the procedure

mL

Select an appropriate answer for each question

Preoperative electrocardiogram

Signs of cardiac failure

Heart on admission chest X-ray

Respiratory symptoms on admission

Lung fields on admission chest X-ray

Magnitude of surgical operation

Mode of surgery

Presence of a malignant neoplasm

Peritoneal soiling

Select the appropriate answer(s) for each post-operative complication

Post-operative infection(s)

Post-operative hemorrhage

Post-operative hypercoagulability

Wound dehiscence

Did the patient develop after surgery?

• an anastomotic leak?

• cardiac failure?

• impaired renal function?

• hypotension?

• respiratory failure?

Number of other complications not listed above

Did the patient die before discharge?

Results

Please fill out required fields.

Specialty

Objective

ICD-10