Etiology Of Peritonitis and Factors Predicting the Mortality in Peritonitis
Keywords:
Peritonitis, Peptic perforation, Tachycardia, HypotensionAbstract
Introduction: Peritonitis is a life threatening surgical emergency that requires prompt and optimum surgical attention. This study aims to describe the different factors affecting the final outcome of the patient.
Materials and methods: A retrospective study of hospital records was done on 60 patients who underwent alaparotomy for treatment of peritonitis in the month of January and February 2012at Civil Hospital and B. J. medical college.
Results: Out of 60, 16 patients died (26.7%). The most common etiology was peptic perforation (50%); the most mortality was also for peptic perforation (8/16, 50%). Factors causing adverse outcomes were extremes of age (p < 0.05), delay in presentation to hospital, tachycardia, and hypotension extremes in total count (septicemia) and altered renal function (p < 0.01).
Conclusion: The mortality rate (26.7%) of peritonitis is quite high. The late presentation to the hospital--a very important cause of adverse outcome in patients, leads to deterioration of patients. Tachycardia, hypotension, renal failure and septicemia are the factors significantly predicting death (each significant at 1%). Thus if patients could be detected early having above mentioned symptoms and prompt treatment could be provided; mortality can be reduced.
References
Sanjay Gupta ,Robin Kaushik , Peritonitis the eastern experience , World journal of emergency Surgery 2006 ;1:13
Rajender S Jhobta et al , Spectrum of perforation peritonitis in India review of 504 consecutive cases, World Journal of Emergency Surgery 2006, 1:26
Ranju Singh , Nishant kumar , Abhijit Bhattacharya , Homay Vajifdar, Preoperative predictors of mortality in adult patients with perforation peritonitis, Indian Journal of Critical Care medicine 2011
Shahida Parveen Afridi, Faiza Malik, Shafiq Ur-Rahman,Shahid Shamim,Khursheed A Samo, Spectrum of perforation peritonitis in Pakistan: 300 cases Eastern experience, World Journal of Emergency Surgery 2008, 3:31
Dinesh Yadav & Puneet K. Garg Spectrum of Perforation Peritonitis in Delhi: 77 Cases Experience Indian J Surg DOI 10.1007/s12262-012-0609-2
Jonathan C Samuel et al , An Observational Study of the Etiology, clinical presentation and outcomes associated with peritonitis in Lilongwe, Malawi, World J Emerg Surg. 2011; 6: 37
Mark A Malangoni , Tazo Inui,Peritonitis – the Western experience World Journal of Emergency Surgery 2006, 1:25
Naoto Fukuda,Joji Wada,Michio Niki,Yasuyuki Sugiyama,Hiroyuki Mushiake, Factors predicting mortality in emergency abdominal surgery in the elderly, World Journal of Emergency Surgery 2012, 7:12
P. Kujath, O. Schwandner,H.-P. Bruch, Morbidity and mortality of perforated peptic gastroduodenal ulcer following emergency, Langenbecks Arch Surg (2002) 387:298–302
Ahmer A Memon, Faisal G Siddiqui, Arshad H Abro, Ahmed H Agha, Shahzadi Lubna Abdul S Memon, An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan World Journal of Emergency Surgery 2012, 7:6
J. O. Larkin ,R. Waldron, M. G. Bourke, K. Barry, A. Muhammed ,P. W. Eustace Mortality in perforated duodenal ulcer depends upon pre-operative risk: a retrospective 10-year study, Ir J Med Sci (2010) 179:545–549
N. Torer, K. Yorganci, D. Elker, I. Sayek, Prognostic factors of the mortality of postoperative intraabdominal infections, Infection (2010) 38:255–260
Michael Imhof, Stefan Epstein,Christian Ohmann,Hans-Dietrich Ro¨her: Duration of Survival after Peptic Ulcer Perforation World J Surg (2008) 32:408–412.
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