POSSUM for Operative Morbidity and Mortality RiskCalculator / Leave a Comment Estimates morbidity and mortality for general surgery patients. POSSUM Calculator POSSUM Calculator Physiological 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/dL mmol/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/dL g/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 Score Calculation Results Physiological Score (PS): – Operative Score (OS): – Total POSSUM Score: – Predicted Mortality: – Predicted Morbidity: –