EVALUATION OF THE SEVERITY OF THE CONDITION IN PREDICTING THE OUTCOME OF GENERALIZED PERITONITIS
Aim. To study the effectiveness of patient severity rating scales in predicting the outcome of treatment for generalized peritonitis. Material and methods. 188 patients with generalized peritonitis were examined, and a comprehensive assessment of the severity of generalized peritonitis was carried out based on the calculation of clinical study indicators by groups of severity of the condition according to the SAPS scales and the Mannheim peritonitis index. Results. The group of patients with the severity of the condition from 0 to 4 according to the SAPS scalecorresponded to an absolutely favorableprognosis of the disease. The likelihood of a poor prognosis increases with the severity of the condition. With an assessment of more than 10 points on the SAPS scale, the prognosis of the disease is unfavorable. In the study group of patients with an MPI index of less than 16, the lethality was 2,6%. In the second group (MPI scores from 16 to 25 points) 16,7% of patients died, in the third group (MPI index - more than 29%) 69,7% of patients died. Conclusion. The general correspondence of the assessment of the severity of the condition and the outcome of generalized peritonitis according to the MPI and SAPS scales is obvious. The scales have shown their suitability for the tasks of assessing the severity of the patient's condition. The solution of these tasks will allow choosing the optimal tactics for the treatment of generalized peritonitis.