Why the study?
Perforation peritonitis is a common surgical emergency, and the utility of the APACHE 2 score for monitoring and predicting outcomes in such patients required prospective evaluation.
Does the APACHE 2 score accurately predict mortality in patients undergoing surgery for perforation peritonitis?
Does the APACHE 2 score accurately predict mortality in patients undergoing surgery for perforation peritonitis?
The APACHE 2 score, particularly when applied on the first post-operative day, is a highly accurate tool for predicting mortality in patients with perforation peritonitis.
May support post-op risk stratification in peritonitis; leaves open prospective validation before clinical adoption.
Background: Perforation peritonitis is very common surgical emergency and despite newer and advanced technology as a monitoring system APACHE 2 score have a good predictive power to predict outcome and monitoring in such patientMethods: This is a prospective study by which APACHE 2 score was applied over the patient before the surgery and after the surgery at first post operative day and score was calculated in selected preformed and result was concludedResults: The outcome of the Patients largely depends on age, perforation size, duration of presentation, and duration of hospitalization all these are well correlated with APCHE 2 score to predict outcome and monitoring.Conclusions: The accuracy of APACHE 2 score to predict the outcome in perforation peritonitis increases when the result of score was combined which was applied two time prior to surgery and after the surgery.
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Gupta et al. (2021) studied this question.
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