Godínez-Vidal Ansony R, Cinta-Egaña Itziar A, Ornelas-Oñate Luis A, García-Vivanco Diego M, Gutiérrez-Uvalle Gabriela E, Gracida-Mancilla Noe I
Departamento de Cirugía General. Hospital General de México Dr. Eduardo Liceaga, Ciudad de México, México.
Clínica de Bariatría y Laparoscopia Avanzada, Departamento de Cirugía General. Hospital General de México Dr. Eduardo Liceaga, Ciudad de México, México.
Cir Cir. 2019;87(2):158-163. doi: 10.24875/CIRU.18000284.
It is crucial the timely detection of a new infection or the persistence of it to improve the survival rates, there is no index that can determine the need for relaparotomy.
To evaluate the diagnostic certainty of the model elaborated by Kiewiet-Van Ruler.
A retrospective, descriptive, cross-sectional study, patients diagnosed with abdominal sepsis who underwent exploratory laparotomy between January 2013 to and May 2015.
We included 109 patients, 63 male patients and 46 female patients. Mortality of 16.5%. 68 cases had a score lower than or equal to 19, of which 17 -patients (43%) did need to reoperate. The second group with a score higher than 20 was 41 patients, of which 22 (56%) required reoperation. In the individual analysis of the variables, a significant value was determined in five of them, with p < 0.05. Only one variable (hemoglobin < 8.1 mg/dl) in the chi-square test and confidence interval was not significant and I do not help so much to predict reoperation.
The utility of the model proposed by Kiewiet-Van Ruler results in an acceptable prediction value for re laparotomy.
及时发现新感染或其持续存在对于提高生存率至关重要，目前尚无指标可确定是否需要再次剖腹手术。
评估Kiewiet-Van Ruler所构建模型的诊断确定性。
一项回顾性、描述性横断面研究，纳入2013年1月至2015年5月间诊断为腹部脓毒症并接受剖腹探查术的患者。
我们纳入了109例患者，其中男性63例，女性46例。死亡率为16.5%。68例患者评分小于或等于19分，其中17例（43%）需要再次手术。第二组评分高于20分的有41例患者，其中22例（56%）需要再次手术。在对变量的单独分析中，其中五个变量具有显著意义，p<0.05。在卡方检验和置信区间中，只有一个变量（血红蛋白<8.1mg/dl）不显著，对预测再次手术帮助不大。
Kiewiet-Van Ruler提出的模型对于再次剖腹手术具有可接受的预测价值。
