A simple prognostic scoring system for typhoid ileal perforation peritonitis

Trop Doct. 2010 Oct;40(4):203-7. doi: 10.1258/td.2010.090135. Epub 2010 Sep 24.

Abstract

The increasing awareness of the worse than expected outcome after typhoid ileal perforation (TIP) prompted us to prospectively prognosticate patients with the help of the Jabalpur prognostic score (JPS), a simplified scoring system for peptic perforation peritonitis (PPP). Eighty-two consecutive patients with TIP were studied from May 2005 to August 2008 in the Department of Surgery, NSCB Government Medical College, Jabalpur (MP), India. Six parameters used in the JPS were recorded: age, heart rate, mean blood pressure, serum creatinine, any co-morbid illness and perforation-operation interval. JPS correlated with morbidity and mortality in TIP patients and, as the score increased, so did the morbidity and mortality. Survivors had a significantly lower mean score (3.86 ± 2.23) than non-survivors (7.94 ± 3.6; P < 0.001). Expectedly, TIP patients had worse outcome, stage by stage, than PPP patients. JPS can be easily modified for TIP (JPS-TIP) and can be easily used for its prognostication.

MeSH terms

  • APACHE
  • Adolescent
  • Adult
  • Female
  • Humans
  • Ileal Diseases / classification
  • Ileal Diseases / etiology
  • Ileal Diseases / mortality*
  • Ileal Diseases / surgery
  • Ileostomy
  • India / epidemiology
  • Intestinal Perforation / classification
  • Intestinal Perforation / etiology
  • Intestinal Perforation / mortality*
  • Intestinal Perforation / surgery
  • Length of Stay
  • Male
  • Middle Aged
  • Morbidity
  • Peritonitis / etiology
  • Peritonitis / mortality*
  • Peritonitis / surgery
  • Postoperative Complications
  • Prognosis
  • Prospective Studies
  • Risk Factors
  • Survival Rate
  • Treatment Outcome
  • Typhoid Fever / classification
  • Typhoid Fever / complications
  • Typhoid Fever / mortality*
  • Typhoid Fever / surgery
  • Young Adult