Vol. 3, Issue 3, Part G (2019)

Method: The participants in a prospective observational study included 125 adults over the age of 18 who presented to the surgical ward at Department of General Surgery, Dhanalakshmi Srinivasan Medical College & Hospital, Perambalur, Tamil Nadu, India. with symptoms of perforation peritonitis from June 2018 to May 2019. These symptoms included abdominal tenderness, guarding, rigidity, and rebound tenderness. Additionally, the participants' x-rays showed air under the diaphragm. 

Result: 125 patients who were admitted to our hospital during the study period all had their SAPS II scores calculated. There were 102 males and 23 females total. Those with a SAPS II score below 20 may be categorized separately from those with a score between 21 and 40, while those with a score over 40 could be categorized separately from those with a score between 21 and 80. The low-risk category included those with a SAPS II score of less than 20, who experienced no deaths and required shorter hospital stays. Patients with a SAPS II score between 21 and 40 were considered to be in the moderate risk group; those with a score of 40 or higher had the highest mortality rate.

Conclusion: The severity of a patient's perforation peritonitis can be predicted with high accuracy using the Sequential Organ Failure Assessment (SAPS) II score.