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%.