EVALUATION OF APACHE II SCORE IN PATIENTS WITH PERFORATIVE PERITONITIS AS A PREDICTOR OF OUTCOME.

Dr. Rajarshi Gayen, Dr. Biswajit Mondal

Abstract


Patients with perforative peritonitis are commonly encountered in hospitals and frequently require ICU
support. A scoring system that can accurately stratify the patients into various risk groups is very helpful to
predict the outcome. The APACHE II score has been used previously in patients of various diseases for the same purpose. This
prospective study has been undertaken to evaluate the usefulness of APACHE II score for risk stratication and prediction of
mortality in patients suffering from perforative peritonitis. The study involved 72 patients admitted with perforative peritonitis
over two years. The APACHE II score was calculated and assigned to each patient on admission and the clinical outcome was
observed. The scoring system predicted mortality fairly well especially in the score range of 11-20. So it may be concluded that
this scoring system can be used in patients with perforative peritonitis as a predictor of outcome.


Keywords


APACHE II score, peritonitis, emergency surgery, critical care

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References


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