Home Peritonitis scores WSES sepsis severity score for patients with cIAIs

WSES sepsis severity score for patients with cIAIs

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Criteria Point Value
Clinical condition at the admission
Severe sepsis (acute organ dysfunction) at the admission 3
Septic shock (acute circulatory failure characterized by persistent arterial hypotension. It always requires vasopressor agents) at the admission 5
Setting of acquisition
Healthcare associated infection 2
Origin of the IAIs
Colonic non-diverticular perforation peritonitis 2
Small bowel perforation peritonitis 3
Diverticular diffuse peritonitis 2
Post-operative diffuse peritonitis 2
Delay in source control
Delayed initial intervention [Preoperative duration of peritonitis (localized or diffuse) > 24 h)] 3
Risk factors
Age>70 2
Immunosuppression (chronic glucocorticoids, immunosuppresant agents, chemotherapy, lymphatic diseases, virus) 3

 

The overall mortality was 0.63% for those who had a score of 0-3, 6.3% for those who had a score of 4-6, 41.7% for those who had a score of ≥ 7. In patients who had a score of ≥ 9 the mortality rate was 55.5%, those who had a score of ≥ 11 the mortality rate was 68.2% and  those who had  a score ≥ 13 the mortality rate was 80.9%.