Organ dysfunction and long term outcome in secondary peritonitis

Abstract

Degree of organ dysfunction measured using SOFA score was the best predictor of hospital mortality in patients suffering from secondary peritonitis.

The Systemic Inflammatory Response in Patients with Appendicitis: a Progressive Phenomenon

“…Only 58 % of patients in group 4 had leukocytosis, and of those with leukocytosis, the value was high. Some patients had normal values, and that response was expected because the inflammatory response in this series reached its peak after 73 h and because the instauration of sepsis would eventually lead to a decreased WBC count or even leukopenia [2,4,5,11,12,[22][23][24][25][26]. In studies using various diagnostic intervals, the incidence of leukocytosis varied from 78 to 88 % [2,3]; however, in one study using three different diagnostic intervals, the presence of leukocytosis increased along a prolonged time of symptom evolution [12].…”

Evaluation of Various Scoring Systems in Predicting the Outcome in Patients of Perforation Peritonitis

“…M Hynninen et al [8] in a series of 163 consecutive patients with secondary peritonitis, using APACHE II and SOFA scoring system, concluded that the degree of organ dysfunction measured using SOFA score was the best predictor of hospital mortality in patients suffering from secondary peritonitis.…”

Progresión De La Respuesta Inflamatoria Sistémica en Pacientes Con Apendicitis

“…La mayoría de los pacientes en el grupo 1 (78%), tenían leucocitosis lo cual es esperable debido a la fase inicial del proceso inflamatorio [3][4][5][6]24 . En el grupo 4, 58% de los pacientes tuvieron un RL elevado, algunos pacientes tuvieron RL normales, esta respuesta también es esperable debido a que la respuesta inflamatoria seguida de la instauración de sepsis después de 72 h eventualmente lleva a la disminución del RL o a leucopenia 2,4,5,13,14,[24][25][26][27][28][29] . En estudios que utilizaron diferentes intervalos diagnósticos la incidencia de leucocitosis varió entre 78% y 88% 2,3 .…”