Diagnostic challenges in postoperative intra-abdominal sepsis in critically ill patients: When to reoperate?
Nasser A N Alzerwi
Department of Surgery, College of Medicine, Majmaah University, Ministry of EducationAl-Majmaah City, Kingdom of Saudi Arabia
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14 oct 2022
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Categoría del artículo: Review
Publicado en línea: 14 oct 2022
Páginas: 420 - 430
Recibido: 04 nov 2021
Aceptado: 14 mar 2022
DOI: https://doi.org/10.2478/ahem-2022-0032
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© 2022 Nasser A N Alzerwi, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Fig. 1
Fig. 2
Scores of the Abdominal Reoperation Predictive Index (ARPI)
| Criteria | Score |
|---|---|
| Respiratory failure | 2 |
| Renal failure | 2 |
| Alterations in consciousness | 2 |
| Emergency surgery (at initial operation) | 3 |
| Ileus (72 hours after surgery) | 4 |
| Abdominal pain (48 hours after surgery) | 5 |
| Persistent symptoms (4th day after surgery) | 6 |
| Wound infection | 8 |
Scores of the Quick Sequential Organ Failure Assessment (qSOFA)
| Criteria | Scores |
|---|---|
| Systolic blood pressure (≤100 mmHg) | 1 |
| Change in mental status | 1 |
| Respiratory rate (≥22/min) | 1 |