DOI: http://dx.doi.org/10.18203/2349-2902.isj20180020

Predicting the outcome of perforation peritonitis by using apache II scoring system

Ankit Gupta, Praveendra K. Sachan, Saurabh Agrawal

Abstract


Background:Peritonitis is inflammation of peritoneum and peritoneal cavity. This study was aimed at predicting morbidity and mortality in patients with peritonitis due to hollow viscous perforation by using APACHE II Scoring system.

Methods: This study was conducted in patients admitted as a case of perforation peritonitis in Tertiary centre Dehradun, over the period of 18 months. APACHE II score was calculated and correlated with their symptoms and clinical outcomes regarding morbidity and mortality.

Results:In present study APACHE- II significantly predict the morbidity and mortality with p value < 0.001. It showed perfect correlation of APACHE-II score and predicted death risk (r = 0.96, P = 0.001).

Conclusions: The APACHE-II scoring system can be used to assess group outcomes in patients with peritonitis due to hollow viscous perforation. However, it does not provide sufficient confidence for outcome prediction in individual patients.


Keywords


APACHE II Score, Mortality, Morbidity, Peritonitis

Full Text:

PDF

References


Such J, Runyon BA. Spotaneous bacterial peritonitis. Clin Infect Dis.1998;27:669.

McClean KJ, Shehan GJ, Hardling GKM. Intra-abdominal infection: a review. Clin Infect Dis. 1994;19:100-16.

Runyon BA. Introduction to the revised American Association for study of Liver Diseases. Practice Guideline management of adult patients with ascites due to cirrhosis. Hepatology. 2012;2013;57:1651.

Darryl T, Hiyama, Bennian RS. Peritonitis and intraabdominal abscess, In: Zinner MJ, Schwartz SI. Ellis H, editors Maingot’s abdominal operation Vol 1, 10th Edition New York: McGraw Hill; 1997:633-653.

Kulkarni SV, Naik AS, Subramanian N. Apache II scoring system in perforative peritonitis. Am J Surg. 2007;194:549-52.

Adesunkanmi AR, Oseni SA, Adejuyigbe O, Agbakwuru EA. Acute generalized peritonitis in African children: assessment of severity of illness using modified APACHE II score. ANZ J Surg. 2003;73(5):275-9.

Ramachandra ML, Jagadesh B, Chandra SBC. Clinical study and management of secondary peritonitis due to perforated hollow viscous. Arc Med Sci. 2007;3(1):61-8.

Jhobta RS, Attri AK, Kaushik R, Sharma R, Jhobta A. Spectrum of perforation peritonitis in India review of 504 consecutive cases. World J Emerg Surg. 2006;1:26.

Sahu S, Gupta A, Sachan P, Bahl D. Outcome of Secondary Peritonitis Based on Apache II Score. Int J Surg. 2007;14:2.

Khan SP, Dar AL, Hayat H. Predictors of mortality and morbidity in peritonitis in a developing country. Turkish J Surg. 2013.

Agarwal S, Sharma D, Raina VK. Arterial pH and arterial oxygenation are not essential for risk stratification in perforation peritonitis. Indian J Gastroenterol. 1999;18:5-6.