Jean Paul Axler
Faculty of Medecine and Pharmacy of the State University of Haiti, State University Hospital of Haïti, Haiti.
Int J Surg Protoc. 2019 Nov 11;18:1-4. doi: 10.1016/j.isjp.2019.10.001. eCollection 2019.
Generalized secondary peritonitis is one of the most common emergencies encountered in surgical departments with a mortality of up to 20%. While early prognostic assessment of peritonitis is essential for the objective classification of the severity of the disease, the late presentation of the majority of patients to health facilities affects this situation, further complicating effective management and promoting the occurrence of complications. In Haiti, few studies on surgical pathologies are available, and with regard to peritonitis, only two thesis works have been listed on the subject. This study aims to: explore the demographic, clinical and etiological characteristics of peritonitis in the main referral hospital in the metropolitan region of the Haiti, and evaluate the main delays and its relationship with the severity of the disease by measuring the MPI score.
It is a correlational descriptive study, retrospectively carried out over a period of 6 years, from January 2013 to December 2018 in the surgical department of the Hospital of the State University of Haiti. The study population is composed of all patients diagnosed, hospitalized and operated on in the peritonitis ward during the study period Pearson's correlation with α < 0.05 was used as the significance threshold and the correlation of complications and duration of management by Spearman's correlation to assess the relationship between sex, age group, complications and length of hospital stay. A multiple linear regression will be done for the most significant correlations. The comparison of the means was made by the Z test, with α < 0.05 as the significance threshold, and the student T test for variables with two modalities such as complication. The ANOVA test was used to cross-reference dependent and independent variables with more than 2 modalities, and the Pearson chi-square test for qualitative variables with etiological and demographic diagnoses.
广泛性继发性腹膜炎是外科最常见的急症之一，死亡率高达20%。虽然腹膜炎的早期预后评估对于客观分类疾病严重程度至关重要，但大多数患者在出现症状后较晚才前往医疗机构就诊，这影响了这种情况，进一步使有效管理复杂化并促使并发症的发生。在海地，关于外科病理学的研究很少，关于腹膜炎，仅列出了两篇相关的论文。本研究旨在：探讨海地首都地区主要转诊医院中腹膜炎的人口统计学、临床和病因学特征，并通过测量MPI评分评估主要延误情况及其与疾病严重程度的关系。
这是一项相关性描述性研究，于2013年1月至2018年12月在海地国立大学医院外科进行，为期6年，采用回顾性研究方法。研究人群包括研究期间在腹膜炎病房被诊断、住院并接受手术的所有患者。以α<0.05的Pearson相关性作为显著性阈值，采用Spearman相关性评估并发症与治疗持续时间之间的关系以及性别、年龄组、并发症与住院时间之间的关系。对于最显著的相关性将进行多元线性回归分析。采用Z检验进行均值比较，以α<0.05作为显著性阈值，对于有两种模式的变量（如并发症）采用学生T检验。对于有两种以上模式的自变量和因变量采用方差分析进行交叉参考，对于病因和人口统计学诊断的定性变量采用Pearson卡方检验。
