Comparison of Major Complication Rate in High and Low Surgical Apgar Score in Abdominal Surgery Cases

Surgical Apgar score is a simple, objective and economical 10-point post-operative prognostic scoring system based on three readily recorded intraoperative variables. It is calculated at the end of operation from estimated blood loss, lowest mean arterial pressure and lowest heart rate entered in the anaesthesia record during the operation. The score is the sum of points from each category. The score shows a strong correlation with the occurrence of major complications or death within 30 days of surgery. To assess and compare the major complication rate or mortality in high and low surgical Apgar score in abdominal surgery cases. This hospital-based analytical observational study was conducted in year 2015–2016 in upgraded Department of General Surgery SMS Hospital, Jaipur, to compare the complication rate in low surgical Apgar score (SAS < 7) and high SAS (SAS ≥ 7) and formulating the utility of the surgical Apgar score in predicting post-operative outcome. SAS was calculated at the end of the operation from the anaesthetic machine by noting heart rate, mean arterial pressure and estimated blood loss was calculated using the formula: