Cirugia y cirujanos · 2019
Application of the Kiewiet-Van Ruler model to predict the need for relaparotomy in patients with secondary peritonitis.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Godínez-Vidal Ansony R, Cinta-Egaña Itziar A, Ornelas-Oñate Luis A, García-Vivanco Diego M, Gutiérrez-Uvalle Gabriela E, Gracida-Mancilla Noe I
Аннотация
INTRODUCTION: It is crucial the timely detection of a new infection or the persistence of it to improve the survival rates, there is no index that can determine the need for relaparotomy.
OBJECTIVE: To evaluate the diagnostic certainty of the model elaborated by Kiewiet-Van Ruler.
METHOD: A retrospective, descriptive, cross-sectional study, patients diagnosed with abdominal sepsis who underwent exploratory laparotomy between January 2013 to and May 2015.
RESULTS: We included 109 patients, 63 male patients and 46 female patients. Mortality of 16.5%. 68 cases had a score lower than or equal to 19, of which 17 -patients (43%) did need to reoperate. The second group with a score higher than 20 was 41 patients, of which 22 (56%) required reoperation. In the individual analysis of the variables, a significant value was determined in five of them, with p < 0.05. Only one variable (hemoglobin < 8.1 mg/dl) in the chi-square test and confidence interval was not significant and I do not help so much to predict reoperation.
CONCLUSIONS: The utility of the model proposed by Kiewiet-Van Ruler results in an acceptable prediction value for re laparotomy.
OBJECTIVE: To evaluate the diagnostic certainty of the model elaborated by Kiewiet-Van Ruler.
METHOD: A retrospective, descriptive, cross-sectional study, patients diagnosed with abdominal sepsis who underwent exploratory laparotomy between January 2013 to and May 2015.
RESULTS: We included 109 patients, 63 male patients and 46 female patients. Mortality of 16.5%. 68 cases had a score lower than or equal to 19, of which 17 -patients (43%) did need to reoperate. The second group with a score higher than 20 was 41 patients, of which 22 (56%) required reoperation. In the individual analysis of the variables, a significant value was determined in five of them, with p < 0.05. Only one variable (hemoglobin < 8.1 mg/dl) in the chi-square test and confidence interval was not significant and I do not help so much to predict reoperation.
CONCLUSIONS: The utility of the model proposed by Kiewiet-Van Ruler results in an acceptable prediction value for re laparotomy.