Acute generalized peritonitis in adult African patients: Assessment of severity using APACHE II score
| Autor: | Abdul Rashid K. Adesunkanmi, E. Augustine Agbakwuru, Akinwumi B. Ogunronbi, Tajudeen A. Badmus |
|---|---|
| Rok vydání: | 2003 |
| Předmět: | |
| Zdroj: | Annals of the College of Surgeons Hong Kong. 7:23-28 |
| ISSN: | 1442-2034 1028-4001 |
| Popis: | Background: Generalized surgical acute abdomen is a significant cause of morbidity and mortality in the Nigerian environment. Severity assessment is useful in order to prioritize treatment and reduce morbidity and mortality. High severity scores are often faced with high morbidity and mortality; these patients, often require more intensive treatment than those with low severity scores. The purpose of this study was to assess the severity of generalized surgical acute abdomen in adult patients using the Acute Physiological and Chronic Ill Health Evaluation (APACHE II) score. Methods: All patients (184) aged 16 years and above, admitted and operated for generalized acute abdomen over a period of 6 years from January 1993 to December 1998 were prospectively studied. Demographic, clinical, preoperative, operative and postoperative data on each patient were entered into a prepared proforma. Severity of illness was assessed using APACHE II parameters. Postoperative outcome and severity of illness were compared to determine the significance of severity of illness on postoperative outcome. Results: Thirty-one patients (17%) died and 78 (42.4%) developed other postoperative complications. The APACHE II scores significantly correlated with the mortality and such other postoperative complications as residual intra-abdominal abscess, abdominal sepsis, chest infection and faecal fistula (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|