Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) Study: a WSES observational study.

Sartelli, Massimo, Abu-Zidan, Fikri M, Labricciosa, Francesco M, Kluger, Yoram, Coccolini, Federico, Ansaloni, Luca, Leppäniemi, Ari, Kirkpatrick, Andrew W, Tolonen, Matti, Tranà, Cristian, Regimbeau, Jean-Marc, Hardcastle, Timothy, Koshy, Renol M, Abbas, Ashraf, Aday, Ulaş, Adesunkanmi, A R K, Ajibade, Adesina, Akhmeteli, Lali, Akın, Emrah, Akkapulu, Nezih, Alotaibi, Alhenouf, Altintoprak, Fatih, Anyfantakis, Dimitrios, Atanasov, Boyko, Augustin, Goran, Azevedo, Constança, Bala, Miklosh, Balalis, Dimitrios, Baraket, Oussama, Baral, Suman, Barkai, Or, Beltran, Marcelo, Bini, Roberto, Bouliaris, Konstantinos, Caballero, Ana B, Calu, Valentin, Catani, Marco, Ceresoli, Marco, Charalampakis, Vasileios, Jusoh, Asri Che, Chiarugi, Massimo, Cillara, Nicola, Cuesta, Raquel Cobos, Cobuccio, Luigi, Cocorullo, Gianfranco, Colak, Elif, Conti, Luigi, Cui, Yunfeng, De Simone, Belinda, Delibegovic, Samir, Demetrashvili, Zaza, Demetriades, Demetrios, Dimova, Ana, Dogjani, Agron, Enani, Mushira, Farina, Federica, Ferrara, Francesco, Foghetti, Domitilla, Fontana, Tommaso, Fraga, Gustavo P, Gachabayov, Mahir, Gérard, Grelpois, Ghnnam, Wagih, Maurel, Teresa Giménez, Gkiokas, Georgios, Gomes, Carlos A, Guner, Ali, Gupta, Sanjay, Hecker, Andreas, Hirano, Elcio S, Hodonou, Adrien, Hutan, Martin, Ilaschuk, Igor, Ioannidis, Orestis, Isik, Arda, Ivakhov, Georgy, Jain, Sumita, Jokubauskas, Mantas, Karamarkovic, Aleksandar, Kaushik, Robin, Kenig, Jakub, Khokha, Vladimir, Khokha, Denis, Kim, Jae Il, Kong, Victor, Korkolis, Dimitris, Kruger, Vitor F, Kshirsagar, Ashok, Simões, Romeo Lages, Lanaia, Andrea, Lasithiotakis, Konstantinos, Leão, Pedro, Arellano, Miguel León, Listle, Holger, Litvin, Andrey, Lizarazu Pérez, Aintzane, Lopez-Tomassetti Fernandez, Eudaldo, Lostoridis, Eftychios, Luppi, Davide, Machain V, Gustavo M, Major, Piotr, Manatakis, Dimitrios, Reitz, Marianne Marchini, Marinis, Athanasios, Marrelli, Daniele, Martínez-Pérez, Aleix, Marwah, Sanjay, McFarlane, Michael, Mesic, Mirza, Mesina, Cristian, Michalopoulos, Nickos, Misiakos, Evangelos, Moreira, Felipe Gonçalves, Mouaqit, Ouadii, Muhtaroglu, Ali, Naidoo, Noel, Negoi, Ionut, Nikitina, Zane, Nikolopoulos, Ioannis, Nita, Gabriela-Elisa, Occhionorelli, Savino, Olaoye, Iyiade, Ordoñez, Carlos A, Ozkan, Zeynep, Pal, Ajay, Palini, Gian M, Papageorgiou, Kyriaki, Papagoras, Dimitris, Pata, Francesco, Pędziwiatr, Michał, Pereira, Jorge, Pereira Junior, Gerson A, Perrone, Gennaro, Pintar, Tadeja, Pisarska, Magdalena, Plehutsa, Oleksandr, Podda, Mauro, Poillucci, Gaetano, Quiodettis, Martha, Rahim, Tuba, Rios-Cruz, Daniel, Rodrigues, Gabriel, Rozov, Dmytry, Sakakushev, Boris, Sall, Ibrahima, Sazhin, Alexander, Semião, Miguel, Sharda, Taanya, Shelat, Vishal, Sinibaldi, Giovanni, Skicko, Dmitrijs, Skrovina, Matej, Stamatiou, Dimitrios, Stella, Marco, Strzałka, Marcin, Sydorchuk, Ruslan, Teixeira Gonsaga, Ricardo A, Tochie, Joel Noutakdie, Tomadze, Gia, Ugoletti, Lara, Ulrych, Jan, Ümarik, Toomas, Uzunoglu, Mustafa Y, Vasilescu, Alin, Vaz, Osborne, Vereczkei, Andras, Vlad, Nutu, Walędziak, Maciej, Yahya, Ali I, Yalkin, Omer, Yilmaz, Tonguç U, Ünal, Ali Ekrem, Yuan, Kuo-Ching, Zachariah, Sanoop K, Žilinskas, Justas, Zizzo, Maurizio, Pattonieri, Vittoria, Baiocchi, Gian Luca and Catena, Fausto (2019) Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) Study: a WSES observational study. World journal of emergency surgery : WJES, 14. p. 34. ISSN 1749-7922. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Abstract

Background

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.

Methods

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.

Results

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 < 100 mmHg, AVPU responsiveness scale (voice and unresponsive), blood oxygen saturation level (SpO) < 90% in air, platelet count < 50,000 cells/mm3, and lactate > 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.

Conclusions

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.

Item Type:	Article
Additional Information:	This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects:	WC Communicabable diseases WI Digestive system. Gastroenterology
Divisions:	Planned IP Care > General Surgery
Related URLs:	https://www.ncbi.nlm.nih.gov/pubmed/3134...
Depositing User:	Mrs Yolande Brookes
Date Deposited:	26 Jul 2019 13:17
Last Modified:	26 Jul 2019 13:17
URI:	http://www.repository.uhblibrary.co.uk/id/eprint/2253

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