title: Evaluating the prognostic value of selected prognostic scales in patients operated on due to peritonitis.
abstract: The aim of the study was to assess the usefulness of prognostic scales: ASA (American Society of Anesthesiologist), MPI (Meinheim Peritonitis Index), MOFS (the Multiple Organ Failure Score) and SPI (the Simple Prognostic Index) in the prognosis of the course of disease in patients operated on for peritonitis.
  
  
  METHODS
  The study was conducted in the Clinical Department of General and Oncological Surgery of the Medical University in Łódź between January 2009 to December 2010. During this period 263 patients were operated on for peritonitis. Before surgery all patients were classified into particular groups according to the above mentioned prognostic scales according to their criteria.
  
  
  RESULTS
  There were 29 (11%) deaths. ASA ≥4 (p<0.0001), MPI >30 (p<0.0001) MOFS ≥2 (p<0.0001), SPI II, III, IV (p<0.0001) were important risk factors of death.
  
  
  CONCLUSIONS
  1. ASA, MPI, MOFS and SPI scales are of high significance in predicting the outcome in patients operated on for peritonitis. 2. The ASA scale in spite and due to its simplicity is adequate enough to be used in everyday practice in patients operated on for peritonitis. 3. The MPI scale is most suitable in the scientific aims and in comparing the outcomes of patients operated on for peritonitis.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Paduszyńska
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Kaczka
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Dworzyńska
authors.forename: Karol
authors.initials: K
authors.lastname: Sieniawski
authors.forename: Lech
authors.initials: L
authors.lastname: Pomorski
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis* / Q000601:surgery*; D011044:Poland; D011237:Predictive Value of Tests; D011379:Prognosis; D012307:Risk Factors; D012720:Severity of Illness Index; D016896:Treatment Outcome; D055815:Young Adult