DOI: 10.36347/sjams.2018.v06i12.010

Pages: 4676-4682

Peritonitis is a demanding surgical emergency. Prospective assessment of such patients into low risk and higher risk group, help in better patient management and better outcome. The current study evaluated the role of APACHE II score in perforation peritonitis as a tool for risk stratification. Study included 100 patients with peritonitis admitted to a teaching hospital over a period of 2 years. APACHE II score of each patient was calculated and their outcome studied Of 100 patients, male sex was the dominant gender (74%). Most patient belong to APACHE II score of 0-10(42%), followed by 34% in APACHE II score of 11-20. Local complications were more in lower APACHE II score (APACHE II score 0-10 and 11-20) whereas systemic complications were more common in higher APACHE II (11-20 and 21-30). APACHE II score of 0-10 has lowest mortality (2.4 %) whereas APACHE II score of >30 has 100% mortality. The mean duration of hospital stay was 14.8 days in APACHE II score of 0-10, 20 days in APACHE II score 11-20; and lowest 1.5 days with APACHE II score > 30 due to early mortality. It was noted that higher the APACHE II score, more frequent and more severe were the postoperative complications. Moreover, higher APACHE II score carries higher morbidity and mortality.