Trakia Journal of Sciences (Sep 2021)

PROGNOSTIC PERFORMANCE OF WORLD SOCIETY OF EMERGENCY SURGERY SEPSIS SEVERITY SCORE IN BULGARIAN PATIENTS WITH COMPLICATED INTRA-ABDOMINAL INFECTIONS

  • E. Dimitrov,
  • G. Minkov,
  • E. Enchev,
  • Y. Yovtchev

DOI
https://doi.org/10.15547/tjs.2021.03.009
Journal volume & issue
Vol. 19, no. 3
pp. 253 – 258

Abstract

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PURPOSE: To evaluate the ability of World Society of Emergency Surgery Sepsis Severity Score (WSES SSS) to prognosticate the fatal outcome in our local setting and compare the findings with globaldata. METHODS: The retrospective study involved 110 patients with complicated intra-abdominal infections (cIAIs) admitted to Department of Surgical Diseases at a University hospital. All adultpatients who required emergency surgery due to cIAIs from January 2017 to July 2019 were included.We assessed the prognostic performance of WSES SSS using area under receiver operating characteristics (AUROC) curves and analyzed the coordinates of the curves. RESULTS: The observed in-hospital mortality was 22.7%. WSES SSS was significantly higher in nonsurvivors compared to survivors - 7(5-8) points vs. 3(0-5) points, p 4 points. CONCLUSION: The WSES SSS was shown as a practical and reliable mortality predictor in Bulgarian patients with cIAIs.

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