Publication at Faculty of Medicine in Hradec Králové |
2009
Abstract
Aim: The aim of this study was to assess causes of peritonitides resulting from acute abdominal perforations in a group of elderly patients and to evaluate the yield of common classification systems in predicting the risks of postoperative complications, in particular of postoperative death rates. Perforation peritonitis remains a high risk condition, considering the postoperative morbidity rates, as well as the death rates.
Perforation of the sigmoid diverticle was the commonest cause of GIT perforations in the elederly. The highest death rate was observed in those with ischemic ethiology.
The PSS and MPI scoring systmes are of high prediction value in the assessment of the risk of postoperative death.