POSSUM for Operative Morbidity and Mortality RiskBy Dr. Costa / June 17, 2025 Estimates morbidity and mortality for general surgery patients.POSSUM Calculator POSSUM CalculatorPhysiological Score Glasgow Coma Scale (GCS) 15 (1 point)12-14 (3 points)9-11 (5 points)6-8 (8 points)3-5 (12 points) Age (Years) Less than 60 (1 point)60-69 (3 points)70-79 (5 points)80-89 (8 points)90+ (12 points) Cardiac Status No cardiac failure (1 point)Controlled CHF (3 points)Arrhythmia (5 points)Acute MI within 6 months (8 points)Uncontrolled CHF (12 points) Respiratory Status No dyspnoea (1 point)Mild dyspnoea (3 points)Moderate dyspnoea (5 points)Severe dyspnoea (8 points)Respiratory failure (12 points) Systolic Blood Pressure (mmHg) 130-170 (1 point)170-200 (3 points)100-129 (3 points)201+ (5 points)50-99 (5 points)Less than 50 (8 points) Pulse Rate (bpm) 50-100 (1 point)101-110 (3 points)40-49 (3 points)111-120 (5 points)121+ (8 points)Less than 40 (8 points) White Blood Cells (WBC x 10^9/L) 4-10 (1 point)3-3.9 (3 points)10.1-20 (3 points)2.1-2.9 (5 points)20.1+ (5 points)Less than 2 (8 points) Blood Urea Nitrogen (BUN) mg/dLmmol/L Sodium (Na+) (mmol/L) 136-140 (1 point)130-135 (3 points)141-145 (3 points)120-129 (5 points)146-150 (5 points)Less than 120 (8 points)More than 150 (8 points) Potassium (K+) (mmol/L) 3.5-5.0 (1 point)3.2-3.4 (3 points)5.1-5.4 (3 points)2.9-3.1 (5 points)5.5-5.9 (5 points)Less than 2.9 (8 points)More than 5.9 (8 points) Hemoglobin (Hb) g/dLg/L Operative Score Magnitude of Operation Minor (1 point)Intermediate (3 points)Major (5 points)Major+ (8 points) Multiple Procedures No (1 point)Yes (5 points) Estimated Blood Loss (mL) Less than 100 (1 point)100-499 (3 points)500-999 (5 points)1000-1999 (8 points)2000+ (12 points) Peritoneal Contamination None (1 point)Minor (3 points)Moderate (5 points)Major (8 points) Presentation Elective (1 point)Emergency (5 points) Malignancy No (1 point)Yes (5 points) Calculate POSSUM ScoreCalculation Results Physiological Score (PS): – Operative Score (OS): – Total POSSUM Score: – Predicted Mortality: – Predicted Morbidity: – Author Dr. CostaSpecialty Doctor, NHS, UK