Assessment of Efficiency of APACHE II Scoring to Predict the Prognosis of Patients with Bacterial Peritonitis
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 4
Abstract
Background: The scoring systems used widely in the field of intensive care are generic prognostic models that estimate the in-hospital mortality rate. They are designed to express a patient's physical status numerically. Many clinicians utilize these systems to measure the severity of illness, predict patient prognosis, and gather information for clinical research. Aim: To assess the efficiency of APACHE II scoring system for bacterial peritonitis patients. Materials and method: The present study was conducted in the Department of General Surgery of the Medical institute. A total of 45 patients admitted to the ICU of surgery ward with diagnosis of secondary peritonitis with hollow viscus perforation were included in the study. The diagnosis was confirmed by radiological investigations, clinical and laboratory findings. For the APACHE II scoring, we assessed and recorded various parameters at the time of admission of patients. Results: The maximum number of patients were seen in the group with APACHE II score (0-4)(n=16), followed by group with APACHE II score (5-9). No patient was seen in the APACHE II score group 30-34 and >34 the group with APACHE II score 20-24 and 25-29 had 2 patients each. In the present study, we scored all relevant values according to the APACHE II chart scoring for abnormally high or low range. 37 patients were alive and were discharged from the hospital whereas 8 patients died during the treatment period. The correlation of APACHE II score and mortality rate was highly significant. Conclusion: APACHE II scoring is highly reliable for predicting the prognosis of bacterial peritonitis patients.
Authors and Affiliations
Arshad Jamal
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