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POSSUM: A scoring system for surgical audit
Abstract
POSSUM, a Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity, is described. This system has been devised from both a retrospective and prospective analysis and the present paper attempts to validate it prospectively. Logistic regression analysis yielded statistically significant equations for both mortality and morbidity (P < 0·001). When displayed graphically zones of increasing morbidity and mortality rates could be defined which could be of value in surgical audit. The scoring system produced assessments for morbidity and mortality rates which did not significantly differ from observed rates.
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Citations
Cited by
Gillis, C., Buhler, K., Bresee, L., Carli, F., Gramlich, L., Culos-Reed, N., Sajobi, T. T., & Fenton, T. R. (2018) · Gastroenterology · doi:10.1053/j.gastro.2018.05.012 · Cited by 541
A protocol is not enough to implement an enhanced recovery programme for colorectal resection
Maessen, J., Dejong, C. H. C., Hausel, J., Nygren, J., Lassen, K., Andersen, J., Kessels, A. G. H., Revhaug, A., Kehlet, H., Ljungqvist, O., et al. (2007) · British Journal of Surgery · doi:10.1002/bjs.5468 · Cited by 533
De Hert, S., Staender, S., Fritsch, G., Hinkelbein, J., Afshari, A., Bettelli, G., Bock, M., Chew, M. S., Coburn, M., De Robertis, E., et al. (2018) · European Journal of Anaesthesiology · doi:10.1097/eja.0000000000000817 · Cited by 389
Bihorac, A., Ozrazgat-Baslanti, T., Ebadi, A., Motaei, A., Madkour, M., Pardalos, P. M., Lipori, G., Hogan, W. R., Efron, P. A., Moore, F., et al. (2019) · Annals of Surgery · doi:10.1097/sla.0000000000002706 · Cited by 377
Maxwell, M. J., Moran, C. G., & Moppett, I. K. (2008) · British Journal of Anaesthesia · doi:10.1093/bja/aen236 · Cited by 369
Metadata
- Authors
- Copeland, G. P., Jones, D., & Walters, M.
- Venue
- Journal of British Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 1991-03-01
- Volume
- 78
- Issue
- 3
- Pages
- 355-360
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W2073141423
- Cited by
- 1,709
- References
- 0
- FWCI
- 4.08
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: POSSUM: A scoring system for surgical audit. https://app.cochat.ai/papers/10.1002/bjs.1800780327
- The paper
- Copeland, G. P., Jones, D., & Walters, M. (1991). POSSUM: A scoring system for surgical audit. Journal of British Surgery. https://doi.org/10.1002/bjs.1800780327
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
