title: Prognostic scoring systems-validation and their utility in patients with abdominal sepsis in colon peritonitis.
abstract: OBJECTIVE
  The purpose of this article is to analyze and validate the CR-POSSUM score in patients with peritonitis of colonic origin, considering mortality forecasting ability.
  
  
  METHODS
  We conducted a prospective longitudinal study of the Surgery Clinic in the Emergency Hospital in Bucharest in January 2008-December 2011. Patients operated on for peritonitis of colonic origin were included in this study. The prognostic CR-POSSUM scores and Mannheim peritonitis index were calculated by using data from observation sheets. There have been a number of deaths and overall mortality was calculated.
  
  
  RESULTS
  There were 58 patients with abdominal sepsis, hospitalized and operated, registering a 17.24% mortality rate. Time from admission until the time of operation was divided between up to 24 hours and over 24 hours, recording 27 (46.55%) cases operated <24 hours and 31 (53, 45%) of patients operated> for 24 hours. Operative severity scores were calculated by taking into account data provided by each surgeon on intraoperative appearance.
  
  
  CONCLUSIONS
  The results of this study demonstrated that both CR-POSSUM score and Mannheim have a prognostic value for patients with abdominal sepsis in colonic peritonitis, both being surgery scores.
authors.affiliation: "Floreasca" Emergency Clinic Hospital, Surgery Clinic.
authors.forename: G
authors.initials: G
authors.lastname: Teleanu
authors.affiliation: "Floreasca" Emergency Clinic Hospital, Surgery Clinic.
authors.forename: F
authors.initials: F
authors.lastname: Iordache
authors.affiliation: "Floreasca" Emergency Clinic Hospital, Surgery Clinic.
authors.forename: M
authors.initials: M
authors.lastname: Beuran
mesh_terms: D003108:Colonic Diseases / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008137:Longitudinal Studies; D010538:Peritonitis / Q000473:pathology* / Q000601:surgery; D011379:Prognosis; D011446:Prospective Studies; D012107:Research Design; D012383:Romania; D018805:Sepsis / Q000473:pathology* / Q000601:surgery; D012720:Severity of Illness Index
keywords: CR-POSSUM score; abdominal sepsis; colon peritonitis; prognostic scoring systems