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2014, Number 2

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Rev Cub Med Int Emerg 2014; 13 (2)

Predictors of death in the secondary peritonitis

Batista OIM, Medrano ME, Bedia GJA, Fernández CBE, Terrero CJ, Marrero CR

Language: Spanish
References: 33
Page: 193-205
PDF size: 219.52 Kb.


ABSTRACT

Introduction: In spite of the achieved advances in the medical sciences, the surgery and the intensive cares, the secondary peritonitis continue being a great problem of health and of elevating indexes of mortality. Objective: Establishing the behavior of presage indicators of the secondary peritonitis related with the mortality. Method: Descriptive, transverse study of presage factors of death in the secondary peritonitis in the intensive care unit of the General University Hospital Vladimir I. Lenin from 2007 to 2012. Results: When the value of the Apache II was superior to 20 points, the sick persons presented 9.98 times more risk of dying. The half value of lactato above 6.5 mmol/ l was of wrong presage for the patients (p= 0,0000). The Índex of Peritonitis of Mannheim greater than 30 was statístically significant in the mortality with p= 0.0000, having these patients 2.68 times more risk of dying. Conclusions: The presage indicators together with the clinical valuation are of great utility in order to determine the risk of dying of a sick person with secondary peritonitis and to value its criteria of admission in units of attention to the serious.


REFERENCES

  1. Solomkin S, Joshep, John Mazusky. Intra-Abdominal Sepsis: Newer Internacional and Antimicrobial Therapies. Infect Dis Clin N Am. 2009;23:593-608.

  2. Avery B, Mathews, Rotsdein G, Marsall John. Tertiary peritonitis clinical features of a complex nosocomial infection. World Surg. 2005;32:158-163.

  3. Expósito Expósito M . Manejo de las peritonitis graves. Nuestra experiencia con abdomen abierto. Rev Cir Ciruj. 2005;70:31-5.

  4. Morales Díaz I, Pérez Migueles L, Pérez Jomarrón E. Peritonitis difusa bacteriana. Análisis de 4 años (1995-1998). Rev Cub Cir. 2000;39(2):160-5.

  5. Greet I, Waltrease A, Eclereose C. Surgical management of peritonitis and sepsis. Zeetralb Chir. 1999;124(3):176-180.

  6. Hernández-Palazón J, Fuentes García D, Burguillos-López S, .Domenech-Asensi P, Sansano-Sánchez TV y Acosta-Villegas F. Análisis de la insuficiencia de órganos y mortalidad en la sepsis por peritonitis secundaria. Med Intensiva. 2012;508:1-7.

  7. Rüttinger D, Kuppinger D, Hölzwimmer M, Zander S, Vilsmaier M, Küchenhoff H,. Jauch K, Wolfgang H. Acute prognosis of critically ill patients with secondary peritonitis: the impact of the number of surgical revisions, and of the duration of surgical therapy. American Journal of Surgery. 2012;204:28-36.

  8. Zaigel NP, Kox M, Lichtwark-Aschoff M, Gippner-Steppert C, Jochum M. Predictive relevance of clinical scores and inflammatory parameters in secondary peritonitis. Bull Soc Sci Med Grand Duche Luxemb. 2011;(1):41-71.

  9. Singh R, Kumar N, Bhattacharya A, Vajifdar H. Secondary peritonitis. Indian Journal of Critical Care Medicine. 2011;15(3):157-163.

  10. Rüttinger D, Kuppinger D, Hölzwimmer M, Zander S, Vilsmaier M, Küchenhoff H, Jauch KW, Hartl WH. Secondary peritonitis. Acute prognosis of critically ill patients. Am J Surg. 2011;194(1):18-22.

  11. Koperna T, Schilz F. Prognosis and treatment of peritonitis. Do we need new scoring systems? Arch Surg. 2000;131(2):180-6.

  12. Berreta J, Kociak D, Balducci A, De Feo F, Laplacette MV, Bellido F, Vázquez MF, González Fernández E, Brotto C, Bar A. Peritonitis secundaria generalizada: predictores de mortalidad y sobrevida. Acta Gastroenterol Latinoam. 2010;40:105- 116.

  13. Novák P, Liska V, Kural T, Brabec M, Kulda J, Treska V. Secondary peritonitis prognosis assessment. Rozhl Chir. 2011;90(10):543-8.

  14. Zaigel NP, Kox M, Lichtwark-Aschoff M, Gippner-Steppert C, Jochum M. Predictive relevance of clinical scores and inflammatory parameters in secondary peritonitis. Bull Soc Sci Med Grand Duche Luxemb. 2011;(1):41-71.

  15. Hartl W, Kuppinger D, Vilsmaier M. Secondary peritonitis. Rev Chir. 2011;136(1):11- 7.

  16. Kulkarni SV, Naik AS, Subramanian N. APACHE II scoring system in perforative peritonitis. Am J Surg. 2007;194(4):549-52.

  17. Komatsu S. Prognostic factors scoring system for survival in colinic perforation. Shock. 2008;21:12-16.

  18. Aduen J, Berntein WK, Khostair T. The use and clinical importance of a substrate specific electrode for rapid determination on blood lactate concentracions. JAMA. 2005;272:1678-1685.

  19. Trzeeciak S. Serum lactate as a predictor of mortality in patients with infection. Intensive Care Med. 2007;33:970-7.

  20. Lange H, Jackel R. Usefulness of plasma lactate concentration in the diagnosis of acute abdominal disease. Anaesth Intensive Care. 2004;32(5):637-43.

  21. Suistoma M, Ruokonen E, Kari A, Takala J. Time-pattern of lactate and lactate to pyruvate ratio in the 24 hours of intensive care emergency admissions. Shock. 2000;14(1):8-12.

  22. De la Paz Estrada C, Reyes Rodríguez M, Barzaga Hernández E. Lactato sérico en pacientes críticos post operados de cirugía de abdomen. Rev Mex Anest. 2005;28(2):69-73.

  23. Bruch HP, Woltrann A, Eckmann C. Surgical management of peritonitis and sepsis. Zentraibi Chir. 1999;124:176-80.

  24. Fuggen R, Rogy M, Herbet F, Schemper M, Shulz F. Validation study of the Mannheim Peritonitis Index. Chiurg. 2006;59(9):598-601.

  25. Busscha K, Reijaders K, Holstaert PF, Algra A. Prognostic scoring systems to predict outcome in peritonitis and intrabdominal sepsis. Br J Surg. 2003;84(11):1532-4.

  26. González Aguilera JC. Pronóstico de la peritonitis generalizada según el índice de Mannheim. Cir Ciruj. 2002;70:179-82.

  27. Bracho L.R. Mannheim Peritonitis Index validation study at the General Hospital of Durango, Mexico. Cir Ciruj. 2002;70:217-25.

  28. Biondo S. Factores pronósticos de mortalidad en la peritonitis de colon izquierdo. Un nuevo sistema de puntuación. Cir Esp. 2002;71(05):232-8.

  29. Marcote E. Perforaciones de colon. Factores pronósticos. Rev Cirugía Esp. 2000;68(1):39-43.

  30. Alvarez MC, Iraola MD, Nieto PR. Factores pronósticos en la peritonitis. Medicrit. 2005;3:12-6.

  31. Barrera Melgarejo E, Rodríguez Castro M, Borda Luque G, Najar Trujillo N. Predictive mortality value of the peritonitis index of Mannheim. Rev Gastroenterol. Peru 2010;30(3):211-5.

  32. Pisanu A, Reccia I, Deplano D, Porru F, Uccheddu A. Factors predicting in-hospital mortality of patients with diffuse peritonitis from perforated colonic diverticulitis. Ann Ital Chir. 2012;83(4):319-24.

  33. Torer N, Yorganci K, Elker D, Sayek I. Prognostic factors of the mortality of postoperative intraabdominal infections. Infection. 2010;38(4):255-60.




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