Abstract
Background: The American College of Surgery National Surgical Quality Improvement Program (NSQIP) calculator is a tool to assess the risk stratification of a patient undergoing major surgical procedures. We used this calculator to assess morbidities in patients with pneumoperitoneum. Method: A prospective study of patients with pneumoperitoneum undergoing exploratory laparotomy was conducted in the General Surgery Department, Liaquat National Hospital. Surgical risks were calculated preoperatively and were compared with the actual outcomes. Results: The NSQIP surgical risk calculator calculated morbidities in comparison with actual morbidities, which were surgical site infection in 28 (17.8%) vs. 49 (31.2%) patients, urinary tract infection in 26 (16.6%) vs. 4 (2.5%), pneumonia in 28 (17.8%) vs. 24 (15.3%) and cardiac event in 25 (15.9%) vs. 14 (8.9%). Conclusion: The NSQIP surgical risk calculator adequately anticipated morbidities such as SSI, UTI, pneumonia, and cardiac events in comparison with actual morbidities.
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