Key result
Higher SAPS II scores were strongly associated with increased mortality in patients with perforation peritonitis, with actual mortality rates of 0% for scores 0-20, 22.4% for scores 21-40, and 91% for scores >40.
Why the study?
The study was conducted to evaluate the efficacy of SAPS II scoring in predicting mortality and morbidity and to provide an objective prognostic risk classification system for patients with perforation peritonitis.
Does the SAPS II scoring system accurately predict mortality and morbidity in adults with perforation peritonitis?
Observational (n=125)
No
Does the SAPS II scoring system accurately predict mortality and morbidity in adults with perforation peritonitis?
Absolute Event Rate: 91% vs 0%
The SAPS II score accurately predicts mortality and morbidity in patients with perforation peritonitis, with higher scores correlating with increased complications and death.
May support SAPS II for mortality risk stratification in perforation peritonitis; leaves open prospective validation.
Background and objective: The purpose of this study was to assess the efficacy of SAPS II scoring in predicting mortality and morbidity in patients with perforated peritonitis. To supply patients with perforation peritonitis with an objective prognostic method. For the purpose of providing a risk classification system for patients with perforation peritonitis. Method: The participants in a prospective observational study included 125 adults over the age of 18 who presented to the surgical ward at Department of General Surgery, Dhanalakshmi Srinivasan Medical College & Hospital, Perambalur, Tamil Nadu, India. with symptoms of perforation peritonitis from June 2018 to May 2019. These symptoms included abdominal tenderness, guarding, rigidity, and rebound tenderness. Additionally, the participants' x-rays showed air under the diaphragm. Result: 125 patients who were admitted to our hospital during the study period all had their SAPS II scores calculated. There were 102 males and 23 females total. Those with a SAPS II score below 20 may be categorized separately from those with a score between 21 and 40, while those with a score over 40 could be categorized separately from those with a score between 21 and 80. The low-risk category included those with a SAPS II score of less than 20, who experienced no deaths and required shorter hospital stays. Patients with a SAPS II score between 21 and 40 were considered to be in the moderate risk group; those with a score of 40 or higher had the highest mortality rate. Conclusion: The severity of a patient's perforation peritonitis can be predicted with high accuracy using the Sequential Organ Failure Assessment (SAPS) II score.
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V et al. (2019) conducted an observational in Perforation peritonitis (n=125). SAPS II score vs. Lower SAPS II scores was evaluated on Mortality. Higher SAPS II scores were strongly associated with increased mortality in patients with perforation peritonitis, with actual mortality rates of 0% for scores 0-20, 22.4% for scores 21-40, and 91% for scores >40.
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