Physiological parameters for Prognosis in Abdominal Sepsis ({PIPAS}) Study: a {WSES} observational study
| Title: | Physiological parameters for Prognosis in Abdominal Sepsis ({PIPAS}) Study: a {WSES} observational study |
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| Authors: | Massimo Sartelli 1; Fikri M Abu-Zidan 2; Francesco M Labricciosa 3; Yoram Kluger 4; Federico Coccolini 5; Luca Ansaloni 5; Ari Leppäniemi 6; Andrew W Kirkpatrick 7; Matti Tolonen 6; Cristian Tranà 1; Jean-Marc Regimbeau 8; Timothy Hardcastle 9; Renol M Koshy 10; Ashraf Abbas 11; Ulaş Aday 12; A R K Adesunkanmi 13; Adesina Ajibade 14; Lali Akhmeteli 15; Emrah Akın 16; Nezih Akkapulu 17; Alhenouf Alotaibi 18; Fatih Altintoprak 19; Dimitrios Anyfantakis 20; Boyko Atanasov 21; Goran Augustin 22; Constança Azevedo 23; Miklosh Bala 24; Dimitrios Balalis 25; Oussama Baraket 26; Suman Baral 27; Or Barkai 4; Marcelo Beltran 28; Roberto Bini 29; Konstantinos Bouliaris 30; Ana B Caballero 31; Valentin Calu 32; Marco Catani 33; Marco Ceresoli 34; Vasileios Charalampakis 35; Asri Che Jusoh 36; Massimo Chiarugi 37; Nicola Cillara 38; Raquel Cobos Cuesta 39; Luigi Cobuccio 37; Gianfranco Cocorullo 40; Elif Colak 41; Luigi Conti 42; Yunfeng Cui 43; Belinda De Simone 44; Samir Delibegovic 45; Zaza Demetrashvili 46; Demetrios Demetriades 47; Ana Dimova 22; Agron Dogjani 48; Mushira Enani 49; Federica Farina 50; Francesco Ferrara 51; Domitilla Foghetti 52; Tommaso Fontana 40; Gustavo P Fraga 53; Mahir Gachabayov 54; Grelpois Gérard 55; Wagih Ghnnam 56; Teresa Giménez Maurel 57; Georgios Gkiokas 58; Carlos A Gomes 59; Ali Guner 60; Sanjay Gupta 61; Andreas Hecker 62; Elcio S Hirano 53; Adrien Hodonou 63; Martin Hutan 64; Igor Ilaschuk 65; Orestis Ioannidis 66; Arda Isik 67; Georgy Ivakhov 68; Sumita Jain 69; Mantas Jokubauskas 70; Aleksandar Karamarkovic 71; Robin Kaushik 61; Jakub Kenig 72; Vladimir Khokha 73; Denis Khokha 74; Jae Il Kim 75; Victor Kong 76; Dimitris Korkolis 25; Vitor F Kruger 53; Ashok Kshirsagar 77; Romeo Lages Simões 78; Andrea Lanaia 79; Konstantinos Lasithiotakis 80; Pedro Leão 81; Miguel León Arellano 82; Holger Listle 83; Andrey Litvin 84; Aintzane Lizarazu Pérez 85; Eudaldo Lopez-Tomassetti Fernandez 86; Eftychios Lostoridis 87; Davide Luppi 88; Gustavo M Machain V 89; Piotr Major 90; Dimitrios Manatakis 91; Marianne Marchini Reitz 47; Athanasios Marinis 92; Daniele Marrelli 93; Aleix Martínez-Pérez 94; Sanjay Marwah 95; Michael McFarlane 96; Mirza Mesic 45; Cristian Mesina 97; Nickos Michalopoulos 98; Evangelos Misiakos 99; Felipe Gonçalves Moreira 78; Ouadii Mouaqit 100; Ali Muhtaroglu 16; Noel Naidoo 101; Ionut Negoi 102; Zane Nikitina 103; Ioannis Nikolopoulos 104; Gabriela-Elisa Nita 105; Savino Occhionorelli 106; Iyiade Olaoye 107; Carlos A Ordoñez 108; Zeynep Ozkan 109; Ajay Pal 110; Gian M Palini 111; Kyriaki Papageorgiou 112; Dimitris Papagoras 113; Francesco Pata 114; Michał Pędziwiatr 115; Jorge Pereira 116; Gerson A Pereira Junior 117; Gennaro Perrone 118; Tadeja Pintar 119; Magdalena Pisarska 120; Oleksandr Plehutsa 121; Mauro Podda 122; Gaetano Poillucci 123; Martha Quiodettis 124; Tuba Rahim 9; Daniel Rios-Cruz 125; Gabriel Rodrigues 126; Dmytry Rozov 4; Boris Sakakushev 127; Ibrahima Sall 128; Alexander Sazhin 68; Miguel Semião 23; Taanya Sharda 61; Vishal Shelat 129; Giovanni Sinibaldi 130; Dmitrijs Skicko 131; Matej Skrovina 132; Dimitrios Stamatiou 133; Marco Stella 51; Marcin Strzałka 134; Ruslan Sydorchuk 135; Ricardo A Teixeira Gonsaga 136; Joel Noutakdie Tochie 137; Gia Tomadze 138; Lara Ugoletti 139; Jan Ulrych 140; Toomas Ümarik 141; Mustafa Y Uzunoglu 142; Alin Vasilescu 143; Osborne Vaz 144; Andras Vereczkei 145; Nutu Vlad 143; Maciej Walędziak 146; Ali I Yahya 147; Omer Yalkin 148; Tonguç U Yilmaz 149; Ali Ekrem Ünal 148; Kuo-Ching Yuan 150; Sanoop K Zachariah 151; Justas Žilinskas 71; Maurizio Zizzo 152; Vittoria Pattonieri 153; Gian Luca Baiocchi 154; Fausto Catena |
| Contributors: | 1, Massimo Sartelli; M Abu-Zidan 2, Fikri; M Labricciosa 3, Francesco; 4, Yoram Kluger; 5, Federico Coccolini; 5, Luca Ansaloni; 6, Ari Leppäniemi; W Kirkpatrick 7, Andrew; 6, Matti Tolonen; 1, Cristian Tranà; 8, Jean-Marc Regimbeau; 9, Timothy Hardcastle; M Koshy 10, Renol; Abbas 11, Ashraf; Aday 12, Ulaş; K Adesunkanmi 13, A R; Ajibade 14, Adesina; Akhmeteli 15, Lali; Akın 16, Emrah; Akkapulu 17, Nezih; Alotaibi 18, Alhenouf; Altintoprak 19, Fatih; Anyfantakis 20, Dimitrio; Atanasov 21, Boyko; Augustin 22, Goran; Azevedo 23, Constança; Bala 24, Miklosh; Balalis 25, Dimitrio; Baraket 26, Oussama; Baral 27, Suman; 4, Or Barkai; Beltran 28, Marcelo; Bini 29, Roberto; Bouliaris 30, Konstantino; B Caballero 31, Ana; Calu 32, Valentin; Catani 33, Marco; Ceresoli 34, Marco; Charalampakis 35, Vasileio; Che Jusoh 36, Asri; Chiarugi 37, Massimo; Cillara 38, Nicola; Cobos Cuesta 39, Raquel; Cobuccio 37, Luigi; Cocorullo 40, Gianfranco; Colak 41, Elif; Conti 42, Luigi; Cui 43, Yunfeng; De Simone 44, Belinda; Delibegovic 45, Samir; Demetrashvili 46, Zaza; Demetriades 47, Demetrio; Dimova 22, Ana; Dogjani 48, Agron; Enani 49, Mushira; Farina 50, Federica; Ferrara 51, Francesco; Foghetti 52, Domitilla; Fontana 40, Tommaso; P Fraga 53, Gustavo; Gachabayov 54, Mahir; Gérard 55, Grelpoi; Ghnnam 56, Wagih; Giménez Maurel 57, Teresa; Gkiokas 58, Georgio; A Gomes 59, Carlo; Guner 60, Ali; Gupta 61, Sanjay; Hecker 62, Andrea; S Hirano 53, Elcio; Hodonou 63, Adrien; Hutan 64, Martin; Ilaschuk 65, Igor; Ioannidis 66, Oresti; Isik 67, Arda; Ivakhov 68, Georgy; Jain 69, Sumita; Jokubauskas 70, Manta; Karamarkovic 71, Aleksandar; Kaushik 61, Robin; Kenig 72, Jakub; Khokha 73, Vladimir; Khokha 74, Deni; Il Kim 75, Jae; Kong 76, Victor; Korkolis 25, Dimitri; F Kruger 53, Vitor; Kshirsagar 77, Ashok; Lages Simões 78, Romeo; Lanaia 79, Andrea; Lasithiotakis 80, Konstantino; Leão 81, Pedro; León Arellano 82, Miguel; Listle 83, Holger; Litvin 84, Andrey; Lizarazu Pérez 85, Aintzane; Lopez-Tomassetti Fernandez 86, Eudaldo; Lostoridis 87, Eftychio; Luppi 88, Davide; V 89, Gustavo M Machain |
| Publication Year: | 2019 |
| Collection: | IRIS Università degli Studi di Bologna (CRIS - Current Research Information System) |
| Subject Terms: | Acute peritoniti; Early warning score; Emergency surgery; Source control |
| Description: | 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 $\geq$ 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. 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. |
| Document Type: | article in journal/newspaper |
| File Description: | ELETTRONICO |
| Language: | English |
| Relation: | volume:14; issue:1; firstpage:1; lastpage:11; numberofpages:11; journal:WORLD JOURNAL OF EMERGENCY SURGERY; https://hdl.handle.net/11585/1008993 |
| Availability: | https://hdl.handle.net/11585/1008993 |
| Accession Number: | edsbas.FDFC569 |
| Database: | BASE |