Article information
Abstract
Left colonic perforation is associated with high mortality and morbidity. The identification of risk factors for postoperative mortality led to the development of scoring systems with prognostic values that have been used in various clinic situations and some of which were designed specifically for surgical patients.
Severity index allows the mortality and morbidity risk to be quantified and predicted based on physiological, analytical, or clinical factors; its application is a valid and rigorous method to calculate the probability of complications and postoperative death.
The use of a score system that can provide an objective assessment of individual postoperative death risk is an important aid for an accurate planning of treatment and for management of health resources, mainly where patients may need intensive care.
Keywords:
Colonic peritonitis
Colonic perforation
Scoring systems
Prognostic factors
Resumen
La peritonitis secundaria a perforación del colon izquierdo conlleva mortalidad y morbilidad elevadas. La identificación de factores de riesgo de mortalidad postoperatoria ha llevado a la elaboración de sistemas de puntuación con significado pronóstico que han sido aplicados a diferentes escenarios clínicos y alguno ha sido diseñado específicamente para pacientes quirúrgicos.
Los índices de gravedad permiten cuantificar y predecir el riesgo de morbilidad y mortalidad según parámetros fisiológicos, analíticos o clínicos, y su aplicación es una forma válida y rigurosa para medir la probabilidad de complicaciones y mortalidad postoperatoria.
El uso de un sistema de puntuación que pueda proporcionar una estimación objetiva del riesgo individual de mortalidad postquirúrgica del paciente es una gran ayuda para una correcta planificación de la estrategia terapéutica y para la gestión de recursos sanitarios, principalmente ante enfermos que requieren estancia y tratamiento en unidades de cuidados intensivos.
Palabras clave:
Peritonitis cólica
Perforación cólica
Sistemas de puntuación
Factores pronósticos
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