Comparison of Scoring Systems (Boey’s, Mannheim Peritonitis Index (MPI), Acute Physisiology and Chronic Health Evaluation Ll (APACHE II) And APACHE III) in Predicting Mortality in Patients of Secondary Peritonitis
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 12
Abstract
Abstract: Secondary peritonitis following an intraperitoneal source is usually from a perforated hollow viscus [1]. Despite advanced techniques in diagnosis, surgical techniques, antimicrobial therapy and intensive care support secondary peritonitis remains a potentially fatal affliction. Several scoring systems were developed to evaluate and compare outcome and treatment [2-4]This prospective study was conducted over a period of 10 months on 200 patients who were admitted in government medical college and hospital, sector 32, Chandigarh, India as a case of non- traumatic perforation (secondary peritonitis). History was noted and scores were calculated on the basis of preoperative investigations and intraoperative findings. Comparison was made using scores and post operative outcome. Aim of this study was to compare and bring most useful scoring system for prediction of outcome in secondary Peritonitis. Result in predicting mortality came out to be APACHE III>APACHE II> MPI > BOEY’S SCORE and hence it was concluded that APACHE III is most accurate in predicting post-operative mortality.
Authors and Affiliations
JS Bajwa, R Kaushik . , AK Attri, S Gupta, M Jayant .
Keywords
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