Publication:

Predicting the outcome of perforation peritonitis by using apache II scoring system

Background Peritonitis is inflammation of peritoneum and peritoneal cavity. This study was aimed at predicting morbidity and mortality in patients with peritonitis due to hollow viscous perforation by using APACHE II Scoring system.

Methods This study was conducted in patients admitted as a case of perforation peritonitis in Tertiary centre Dehradun, over the period of 18 months. APACHE II score was calculated and correlated with their symptoms and clinical outcomes regarding morbidity and mortality.

Results In present study APACHE- II significantly predict the morbidity and mortality with p value < 0.001. It showed perfect correlation of APACHE-II score and predicted death risk (r = 0.96, P = 0.001).

Conclusions The APACHE-II scoring system can be used to assess group outcomes in patients with peritonitis due to hollow viscous perforation. However, it does not provide sufficient confidence for outcome prediction in individual patients.