Key result
The APACHE II scoring system remains a simple, universally accepted, and reliable indicator for grading the severity and prognosis of intraabdominal infections.
The APACHE II scoring system remains a reliable and simple tool for stratifying the severity of intraabdominal infections.
Supports APACHE II for intraabdominal infection stratification; leaves open prospective validation against contemporary scores.
Intra -abdominal infection continues to defy advances in surgical care with considerable mortality. It is characterized by a spectrum of presentations of varying disease severity. The need to ensure standards for comparing studies and antibiotic trials on intraabdominal infection led to the emergence of several scoring systems. There is paucity of information on this subject in local literature, even though a Nigerian scientist pioneered one of the earliest stratification systems. This is a review of literature on one of the scoring systems that has made an impact in the standardization of intraabdominal sepsis:the APACHE II scoring system. This study will review the genesis, bedside application, uses, limitations and alternatives as a scoring system for intraabdominal infection. Over two decades of use, it is simple and continues to be a reliable indicator of severity of intraabdominal infection.
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Ukwenya et al. (2010) conducted a review in Intraabdominal infections. APACHE II Scoring System was evaluated. The APACHE II scoring system remains a simple, universally accepted, and reliable indicator for grading the severity and prognosis of intraabdominal infections.
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