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2015 | 86 | 9 | 422-428
Tytuł artykułu

Evaluating the Prognostic Value of Selected Prognostic Scales in Patients Operated on Due to Peritonitis

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study was to assess the usefulness of prognostic scales: ASA (American Society of Anesthesiologist), MPI (Meinheim Peritonitis Index), MOFS (the Multiple Organ Failure Score) and SPI (the Simple Prognostic Index) in the prognosis of the course of disease in patients operated on for peritonitis. Material and methods. The study was conducted in the Clinical Department of General and Oncological Surgery of the Medical University in Łódź between January 2009 to December 2010. During this period 263 patients were operated on for peritonitis. Before surgery all patients were classifed into particular groups according to the above mentioned prognostic scales according to their criteria. Results. There were 29 (11%) deaths. ASA ≥4 (p<0.0001), MPI >30 (p<0.0001) MOFS ≥2 (p<0.0001), SPI II, III, IV (p<0.0001) were important risk factors of death. Conclusions. 1. ASA, MPI, MOFS and SPI scales are of high signifcance in predicting the outcome in patients operated on for peritonitis. 2. The ASA scale in spite and due to its simplicity is adequate enough to be used in everyday practice in patients operated on for peritonitis. 3. The MPI scale is most suitable in the scientifc aims and in comparing the outcomes of patients operated on for peritonitis.
Słowa kluczowe
Wydawca

Rocznik
Tom
86
Numer
9
Strony
422-428
Opis fizyczny
Daty
otrzymano
2014-07-30
online
2014-12-18
Twórcy
  • Department of General and Oncological Surgery, University Hospital and Educational Centre of Medical University in Łódź Kierownik: prof. dr hab., kpadi@onet.pl
  • Department of General and Oncological Surgery, University Hospital and Educational Centre of Medical University in Łódź Kierownik: prof. dr hab.
  • Department of General and Oncological Surgery, University Hospital and Educational Centre of Medical University in Łódź Kierownik: prof. dr hab.
  • Department of General and Oncological Surgery, University Hospital and Educational Centre of Medical University in Łódź Kierownik: prof. dr hab.
  • Department of General and Oncological Surgery, University Hospital and Educational Centre of Medical University in Łódź Kierownik: prof. dr hab.
Bibliografia
  • 1. Sreeharsha H, Sp R, Sreekar H, Reddy R: Skuteczno?ć skali POSSUM w przewidywaniu wyniku u pacjentów poddawanych laparotomii w trybie pilnym. Pol Przegl chir 2014; 86(4): 289-300.
  • 2. Mani C, Borah C, Krishna SV et al.: The role of APACHE-II triaging in optimum management of small bowel perforations. trop Doct 2001; 31(4): 198-201.[PubMed]
  • 3. Biondo C, Ramos E, Fraccalvieri D et al.: Com-parative study of left colonic Peritonitis Severity Score and Mannheim Peritonitis Index. br J Surg 2006; 93: 616-22.
  • 4. Kologlu M, Elker D, Altun H, Sayek I: Validation of MPI and PIA II in two different groups of patients with secondary peritonitis. Hepatogastroenterology 2001; 48(37): 147-51.[PubMed]
  • 5. Oomen JL, Engel AF, Cuesta MA: Mortality after surgery for complications of diverticular disease of the imoid colon is almost exclusively due to patient related factors. colorectal Dis 2006; 8(2): 112-19.[Crossref]
  • 6. Cicciarella G, Chiarenza S, Basile G: Peritonitis secondary to gastrointestinal perforations. Minerva chir 2003; 58(3): 345-49.[PubMed]
  • 7. Notash AY, Salimi J, Rahimien H et al.: Evalu-ation of Mannheim peritonitis index and multiple organ failure score in patients with peritonitis. indian J Gastroenetrol 2005; 24(5): 197-200.
  • 8. Abbas SM, Kahokehr A, Mahmoud M, Hill AG: The Simple Prognostic Index (SPI) - a pathophy-siologic prognostic scoring tool for emergency lapa-rotomy. J Surg research 2010; 163: 59-65.
  • 9. Tan KK, Hong CC, Zhang J et al.: Predictor of outcome following surgery in colonic perforation. J Gastrointest Surg 2011; 15(2): 277-84.[Crossref]
  • 10. Billing A, Fronlich D, Schildberg FW: Prediction of outcome using the Mannheim Peritonitis Index in 2003 patients. br J Surg 1994; 81: 209-312.
  • 11. Donati A, Ruzzi M, Adrario E et al.: A new and feasible model for predicting operative risk. br J anaesth 2004; 93(3): 393-99.[PubMed]
  • 12. Lohsirivat V, Prapasrivorakul S, Lohisrivat D: Perforated peptic ulcer: clinical presentation, sur-gical outcomes, and the accuracy of the Boey scoring system in predicting postoperative morbidity and mortality. world J Surg 2009; 33(1): 80-85.[Crossref][WoS]
  • 13. Rix TE, Bates T: Pre-operative risk scores for the prediction of outcome in elderly people who require emergency surgery. world J emerg Surg 2007; 2: 16-24.[PubMed]
  • 14. Lefering R, Goris RJA, van Nieuwenhoven EJ: Revision of the multiple organ failure score. lan-genbeck's arch Surg 2002; 387: 14-20.
  • 15. Ucchedu A, Floris G, Altana ML et al.: Surgery for perforated peptic ulcer in the elderly. Evaluation of factors infuencing prognosis. Hepatogastroente-rology 2003; 50(54): 1956-58.
  • 16. Girgin S, Gedik E, Tacyilids IH: Factors affec-ting morbidity and mortality in gangrenous chole-cystitis. acta chir belg 2006; 106(5): 545-49.
  • 17. Lohsirivat V, Prapasrivorakul S, Lohisrivat D: Perforated peptic ulcer: clinical presentation, sur-gical outcomes and the accuracy of the Boeyscoring system in predicting postoperative morbidity and mortality, world J Surg 2009; 33(1): 80-85.[Crossref][WoS]
  • 18. Toren N, Yorganaci K, Elker D, Sayek I: Progno-stic factors of the mortality of postoperative intraab-dominal infections. infection 2010; 38(4): 255-60.
  • 19. Bielecki K, Kamiński P, Klukowski M: Large bowel perforation: morbidity and mortality. tech colproctol 2002; 6(3): 177-82.[PubMed]
  • 20. Komatsu S, Shimomatsuya T, Nakajima M et al.: Prognostic factors and scoring system for su-rvival in colonic perforation. Hepatogastroentero-logy 2005; 52(63): 761-64.
  • 21. Castelli GP, Pognani C, Cita M, Stuani A et al.: Procalcytonin, C-reactive protein, white blood cells and SOFA score in ICU: diagnosis and monitoring of sepsis. Minerva anesthesiol 2006; 72(1-2): 69-80.
  • 22. Goris RJA, Boekhorst TPA, Nuytinck JKS, Gimbrere JSF: Multiple organ failure. Generalized autodestructive infammation? arch Surg 1985; 120: 1109-15.
  • 23. Koperna T, Schultz F: Prognosis and treat-ment of peritonitis. arch Surg 1996 1996; 131: 180-86.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0075
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