TY - JOUR
T1 - Mortality and septic score of colorectal perforation
T2 - A retrospective study of 102 patients
AU - Tzeng, K. H.
AU - Leu, S. Y.
AU - Lin, J. K.
AU - Lin, T. C.
AU - Chen, W. S.
PY - 1994
Y1 - 1994
N2 - During the period from 1983 to 1992, 102 patients of colorectal diseases associated with perforation (traumatic, iatrogenic perforation and anastomotic leakage were excluded) were studied retrospectively. There were 81 males and 21 females with mean age of 62.1 years (rang 25-86) and 67.1 years (range 37-81) respectively. The 18 deaths yielded an overall mortality rate of 17.6% (18/102); 0% (0/26) in patients with localized peritonitis, 15.0% (6/40) in generalized purulent peritonitis and 33.3% (12/36) in generalized feculent peritonitis. Correlation of operative mortality with preoperative spesis, as defined by septic score, was analyzed with the results: in generalized purulent peritonitis, when the score was <3, the operative mortality rate was 10.5% (4/38), when the score was>=3, it reached to 100% (2/2); in feculent peritonitis when the score was<3, the mortality rate was 14.8% (4/27), when the score was>=3, it reached up to 88.9% (8/9). Furthermore, if the operative mortality rate was compared by only considering the preoperative septic score, a significant difference (P<0.05) existed: when the score was>=1, the mortality rate was 38.4% (15/39), and when the score was<1, it was 8.1% (3/37). In summary, this experience indicated that the extent of intra-abdominal contamination by bacteria or feces and severity of preoperative sepsis were major factors which significantly produced high correlation with operative mortality. Choice of the most appropriate operative procedure still depends upon the patient's clinical condition and individualized selection.
AB - During the period from 1983 to 1992, 102 patients of colorectal diseases associated with perforation (traumatic, iatrogenic perforation and anastomotic leakage were excluded) were studied retrospectively. There were 81 males and 21 females with mean age of 62.1 years (rang 25-86) and 67.1 years (range 37-81) respectively. The 18 deaths yielded an overall mortality rate of 17.6% (18/102); 0% (0/26) in patients with localized peritonitis, 15.0% (6/40) in generalized purulent peritonitis and 33.3% (12/36) in generalized feculent peritonitis. Correlation of operative mortality with preoperative spesis, as defined by septic score, was analyzed with the results: in generalized purulent peritonitis, when the score was <3, the operative mortality rate was 10.5% (4/38), when the score was>=3, it reached to 100% (2/2); in feculent peritonitis when the score was<3, the mortality rate was 14.8% (4/27), when the score was>=3, it reached up to 88.9% (8/9). Furthermore, if the operative mortality rate was compared by only considering the preoperative septic score, a significant difference (P<0.05) existed: when the score was>=1, the mortality rate was 38.4% (15/39), and when the score was<1, it was 8.1% (3/37). In summary, this experience indicated that the extent of intra-abdominal contamination by bacteria or feces and severity of preoperative sepsis were major factors which significantly produced high correlation with operative mortality. Choice of the most appropriate operative procedure still depends upon the patient's clinical condition and individualized selection.
UR - http://www.scopus.com/inward/record.url?scp=0028025087&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:0028025087
SN - 1682-606X
VL - 27
SP - 2383
EP - 2390
JO - Formosan Journal of Surgery
JF - Formosan Journal of Surgery
IS - 3
ER -