RT Journal Article
T1 Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) Study: a WSES observational study.
A1 Sartelli, Massimo
A1 Abu-Zidan, Fikri M
A1 Labricciosa, Francesco M
A1 Kluger, Yoram
A1 Coccolini, Federico
A1 Ansaloni, Luca
A1 Leppäniemi, Ari
A1 Kirkpatrick, Andrew W
A1 Tolonen, Matti
A1 Tranà, Cristian
A1 Regimbeau, Jean-Marc
A1 Hardcastle, Timothy
A1 Koshy, Renol M
A1 Abbas, Ashraf
A1 Aday, Ulaş
A1 Adesunkanmi, A R K
A1 Ajibade, Adesina
A1 Akhmeteli, Lali
A1 Akın, Emrah
A1 Akkapulu, Nezih
A1 Alotaibi, Alhenouf
A1 Altintoprak, Fatih
A1 Anyfantakis, Dimitrios
A1 Atanasov, Boyko
A1 Augustin, Goran
A1 Azevedo, Constança
A1 Bala, Miklosh
A1 Balalis, Dimitrios
A1 Baraket, Oussama
A1 Baral, Suman
A1 Barkai, Or
A1 Beltran, Marcelo
A1 Bini, Roberto
A1 Bouliaris, Konstantinos
A1 Caballero, Ana B
A1 Calu, Valentin
A1 Catani, Marco
A1 Ceresoli, Marco
A1 Charalampakis, Vasileios
A1 Jusoh, Asri Che
A1 Chiarugi, Massimo
A1 Cillara, Nicola
A1 Cuesta, Raquel Cobos
A1 Cobuccio, Luigi
A1 Cocorullo, Gianfranco
A1 Colak, Elif
A1 Conti, Luigi
A1 Cui, Yunfeng
A1 De Simone, Belinda
A1 Delibegovic, Samir
A1 Demetrashvili, Zaza
A1 Demetriades, Demetrios
A1 Dimova, Ana
A1 Dogjani, Agron
A1 Enani, Mushira
A1 Farina, Federica
A1 Ferrara, Francesco
A1 Foghetti, Domitilla
A1 Fontana, Tommaso
A1 Fraga, Gustavo P
A1 Gachabayov, Mahir
A1 Gérard, Grelpois
A1 Ghnnam, Wagih
A1 Maurel, Teresa Giménez
A1 Gkiokas, Georgios
A1 Gomes, Carlos A
A1 Guner, Ali
A1 Gupta, Sanjay
A1 Hecker, Andreas
A1 Hirano, Elcio S
A1 Hodonou, Adrien
A1 Hutan, Martin
A1 Ilaschuk, Igor
A1 Ioannidis, Orestis
A1 Isik, Arda
A1 Ivakhov, Georgy
A1 Jain, Sumita
A1 Jokubauskas, Mantas
A1 Karamarkovic, Aleksandar
A1 Kaushik, Robin
A1 Kenig, Jakub
A1 Khokha, Vladimir
A1 Khokha, Denis
A1 Kim, Jae Il
A1 Kong, Victor
A1 Korkolis, Dimitris
A1 Kruger, Vitor F
A1 Kshirsagar, Ashok
A1 Simões, Romeo Lages
A1 Lanaia, Andrea
A1 Lasithiotakis, Konstantinos
A1 Leão, Pedro
A1 Arellano, Miguel León
A1 Listle, Holger
A1 Litvin, Andrey
A1 Lizarazu Pérez, Aintzane
A1 Lopez-Tomassetti Fernandez, Eudaldo
A1 Lostoridis, Eftychios
A1 Luppi, Davide
A1 Machain V, Gustavo M
A1 Major, Piotr
A1 Manatakis, Dimitrios
A1 Reitz, Marianne Marchini
A1 Marinis, Athanasios
A1 Marrelli, Daniele
A1 Martínez-Pérez, Aleix
A1 Marwah, Sanjay
A1 McFarlane, Michael
A1 Mesic, Mirza
A1 Mesina, Cristian
A1 Michalopoulos, Nickos
A1 Misiakos, Evangelos
A1 Moreira, Felipe Gonçalves
A1 Mouaqit, Ouadii
A1 Muhtaroglu, Ali
A1 Naidoo, Noel
A1 Negoi, Ionut
A1 Nikitina, Zane
A1 Nikolopoulos, Ioannis
A1 Nita, Gabriela-Elisa
A1 Occhionorelli, Savino
A1 Olaoye, Iyiade
A1 Ordoñez, Carlos A
A1 Ozkan, Zeynep
A1 Pal, Ajay
A1 Palini, Gian M
A1 Papageorgiou, Kyriaki
A1 Papagoras, Dimitris
A1 Pata, Francesco
A1 Pędziwiatr, Michał
A1 Pereira, Jorge
A1 Pereira Junior, Gerson A
A1 Perrone, Gennaro
A1 Pintar, Tadeja
A1 Pisarska, Magdalena
A1 Plehutsa, Oleksandr
A1 Podda, Mauro
A1 Poillucci, Gaetano
A1 Quiodettis, Martha
A1 Rahim, Tuba
A1 Rios-Cruz, Daniel
A1 Rodrigues, Gabriel
A1 Rozov, Dmytry
A1 Sakakushev, Boris
A1 Sall, Ibrahima
A1 Sazhin, Alexander
A1 Semião, Miguel
A1 Sharda, Taanya
A1 Shelat, Vishal
A1 Sinibaldi, Giovanni
A1 Skicko, Dmitrijs
A1 Skrovina, Matej
A1 Stamatiou, Dimitrios
A1 Stella, Marco
A1 Strzałka, Marcin
A1 Sydorchuk, Ruslan
A1 Teixeira Gonsaga, Ricardo A
A1 Tochie, Joel Noutakdie
A1 Tomadze, Gia
A1 Ugoletti, Lara
A1 Ulrych, Jan
A1 Ümarik, Toomas
A1 Uzunoglu, Mustafa Y
A1 Vasilescu, Alin
A1 Vaz, Osborne
A1 Vereczkei, Andras
A1 Vlad, Nutu
A1 Walędziak, Maciej
A1 Yahya, Ali I
A1 Yalkin, Omer
A1 Yilmaz, Tonguç U
A1 Ünal, Ali Ekrem
A1 Yuan, Kuo-Ching
A1 Zachariah, Sanoop K
A1 Žilinskas, Justas
A1 Zizzo, Maurizio
A1 Pattonieri, Vittoria
A1 Baiocchi, Gian Luca
A1 Catena, Fausto
K1 Acute peritonitis
K1 Early warning score
K1 Emergency surgery
K1 Source control
AB Timing and adequacy of peritoneal source control are the most important pillars in the management of patients with acute peritonitis. Therefore, early prognostic evaluation of acute peritonitis is paramount to assess the severity and establish a prompt and appropriate treatment. The objectives of this study were to identify clinical and laboratory predictors for in-hospital mortality in patients with acute peritonitis and to develop a warning score system, based on easily recognizable and assessable variables, globally accepted. This worldwide multicentre observational study included 153 surgical departments across 56 countries over a 4-month study period between February 1, 2018, and May 31, 2018. A total of 3137 patients were included, with 1815 (57.9%) men and 1322 (42.1%) women, with a median age of 47 years (interquartile range [IQR] 28-66). The overall in-hospital mortality rate was 8.9%, with a median length of stay of 6 days (IQR 4-10). Using multivariable logistic regression, independent variables associated with in-hospital mortality were identified: age > 80 years, malignancy, severe cardiovascular disease, severe chronic kidney disease, respiratory rate ≥ 22 breaths/min, systolic blood pressure  80 years, malignancy, severe cardiovascular disease, severe chronic kidney disease, respiratory rate ≥ 22 breaths/min, systolic blood pressure  4 mmol/l. These variables were used to create the PIPAS Severity Score, a bedside early warning score for patients with acute peritonitis. The overall mortality was 2.9% for patients who had scores of 0-1, 22.7% for those who had scores of 2-3, 46.8% for those who had scores of 4-5, and 86.7% for those who have scores of 7-8. The simple PIPAS Severity Score can be used on a global level and can help clinicians to identify patients at high risk for treatment failure and mortality.
YR 2019
FD 2019-07-15
LK http://hdl.handle.net/10668/14302
UL http://hdl.handle.net/10668/14302
LA en
DS RISalud
RD Apr 11, 2025