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

• Authors: Katarzyna Paduszyńska , Krzysztof Kaczka , Agnieszka Dworzyńska , Karol Sieniawski , Lech Pomorski
• Languages of publication: EN

Abstracts

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.

Keywords

EN

peritonitis; mortality; prognostic scales

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 9
• Pages: 422-428

Dates

online

18 - 12 - 2014

received

30 - 7 - 2014

Contributors

author

Katarzyna Paduszyńska

• Department of General and Oncological Surgery, University Hospital and Educational Centre of Medical University in Łódź Kierownik: prof. dr hab.

author

Krzysztof Kaczka

• Department of General and Oncological Surgery, University Hospital and Educational Centre of Medical University in Łódź Kierownik: prof. dr hab.

author

Agnieszka Dworzyńska

• Department of General and Oncological Surgery, University Hospital and Educational Centre of Medical University in Łódź Kierownik: prof. dr hab.

author

Karol Sieniawski

• Department of General and Oncological Surgery, University Hospital and Educational Centre of Medical University in Łódź Kierownik: prof. dr hab.

author

Lech Pomorski

• Department of General and Oncological Surgery, University Hospital and Educational Centre of Medical University in Łódź Kierownik: prof. dr hab.

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Identifiers

DOI

10.2478/pjs-2014-0075