ASA Grading and Duration of Stay among Secondary Peritonitis Cases and its Association with Outcome in a Tertiary Care Hospital

Abstract

Background: The present study was carried out to evaluate the ASA Grading and Duration of stay among Secondary Peritonitis cases and its association with outcome in a tertiary care Hospital. Material and Methods: This study was a longitudinal, prospective study in which all patients presenting to the Department of Surgery, IGMC, Shimla over a period of twelve months from January 2021 – December 2021 and with a diagnosis of secondary peritonitis after fulfilling the inclusion and exclusion criteria were recruited. Relevant information was collected and further analysed by using IBM SPSS Statistics. Results: In the present study a total of 250 patients with diagnosis of perforation peritonitis were evaluated. Among the total Males were 205 (82%) and Females were 45 (18%). Mean age of the patients was 47.28±17.34 years with range from 18 to 87 years. Among the total, 99(39.6%) patients were age less than 40 years while 151(60.4%) patients were aged > 40 years. Among the total, 32(12.80%) were expired while 218(87.20%) were discharged after treatment. Among the total, 114(45.60%) patients were in grade 1 according American Society of Anesthesiologists (ASA) scoring system, 107 (42.80%) were in grade 2, 22(8.80%) were in grade 3 and 7(2.80%) were in grade 4. Among the total 32 patients who were expired, 2(6.3%) were in grade 1, 19(59.4%) were in grade 2, 9(28.1%) were in grade 3 and 2(6.3%) were in grade 4 while among the total 218 patients who were discharged, 112(51.4%) were in grade 1, 88(40.4%) were in grade 2, 13(6.0%) were in grade 3 and 5(2.3%) were in grade 4 according American Society of Anesthesiologists (ASA) scoring system. There was found significant association between ASA Grading and mortality. The mean duration of hospital stay among study participants was 8.99±6.07 days with range 1 to 40 days. The mean duration of hospital stay among 32 expired patients was 9.19± 8.26 days while among 218 discharged patients was 8.96±5.70 days. There was no significant association between duration of hospital stay and mortality. Conclusion: The present study concluded that most of patients of secondary peritonitis were in grade 1 of American Society of Anesthesiologists (ASA) scoring system old and there was significant association of mortality with ASA Grading but not with duration of stay in hospital.