Incidence of Post-Operative Sepsis and Role of Charlson Co-Morbidity Score for Predicting Postoperative Sepsis.
Sepsis and septic shock are among mortality causes following major surgeries. The Charlson co-morbidity index consists of 19 weighted categories related to chronic health which measures the burden of co-morbidity. The goal of this study was to determine the incidence of postoperative sepsis in patients underwent gynecological and gastrointestinal cancer surgeries and predictive role of Charlson index for this situation. Two hundred and twenty-two patients who underwent gynecological and gastrointestinal cancer surgeries were evaluated. Sixty-four (28.6%) patients developed SIRS postoperatively. Forty-four (19.7%) patients developed sepsis postoperatively. Mean age, duration of hospitalization and surgery, the Charlson score were significantly higher in patients who developed sepsis than other cases. Blood transfusion and Charlson score were independent predictors of sepsis occurrence. Charlson co-morbidity index is a predictive factor for developing postoperative sepsis.
Brain and Spinal Cord Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Hassan
SH
Emami-Razavi
Department of Surgery, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Atefeh
A
Mohammadi
Department of Surgery, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Abbas
A
Alibakhshi
Department of Surgery, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mehdi
M
Jalali
Brain and Spinal Cord Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Mahsa
M
Ghajarzadeh
D000328:Adult; D015897:Comorbidity; D005260:Female; D006760:Hospitalization; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000453:epidemiology*; D012772:Shock, Septic / Q000453:epidemiology*; D018746:Systemic Inflammatory Response Syndrome / Q000453:epidemiology*
Iran; Post operative; Sepsis