PROSPECTIVE EVALUATION OF THE CLINICAL RISK FACTORS IN TERMS OF PROGNOSIS IN ACUTE DIFFUSE PERITONITIS IN TRIBAL INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 1
Abstract
BACKGROUND Throughout the evolution of surgery, peritonitis has been a continuous diagnostic and therapeutic challenge. Even in some centers, due to lack of armamentarium in tribal India, surgeons have to depend more on clinical risk factors for diagnosis and early management. The aim of this study was to evaluate clinical risk factors affecting mortality and morbidity in patients of acute diffuse peritonitis. MATERIALS AND METHODS This was a hospital based, longitudinal descriptive study of 120 high risk emergency patients of acute diffuse peritonitis who were analysed and treated with the best available measures in the center. RESULTS The overall mortality in the study group was 11%. Significant risk factors in the analysis included age > 50 years (p=0.02), delay of more than 24 hours in presenting for evaluation (p=0.002). The morbidity i.e. duration of hospital stay was observed in 73% who stayed for 7-14 days. It increased significantly with advanced age > 50 years (p=0.009) and in delayed duration of presenting symptoms of more than 24 hours (p=0.02). CONCLUSION Clinical risk factors as we studied in our present study found to govern the outcome of patients. All patients were high risk emergency patients and immediate intervention with proper evaluation was done change the out come in these patients.
Authors and Affiliations
Lalit Vishvanath Tamgadge, Rupesh Kawadu Sondawle, Ashok Gajbhiye
Keywords
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- EP ID EP553008
- DOI 10.14260/jemds/2019/3
- Views 65
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