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Revista Colombiana de Cirugía
Print version ISSN 2011-7582On-line version ISSN 2619-6107
Abstract
RIVERA-ORDONEZ, Andrés Camilo; BETANCOURTH-CALVO, Diana Carolina; MORA-BENITEZ, Diego Andrés and ARTEAGA-OVIEDO, María Alejandra. Clinical characterization of secondary peritonitis in a tertiary level of care institution and factors related to mortality. rev. colomb. cir. [online]. 2022, vol.37, n.3, pp.448-454. Epub Aug 24, 2020. ISSN 2011-7582. https://doi.org/10.30944/20117582.1684.
Introduction.
Secondary peritonitis is a disease with high mortality rates, so it is considered of great importance to identify the factors that affect it.
Methods.
An analytical study was carried out between 2019 and 2020 in which patients with secondary peritonitis were included, the variables most related to prognosis were characterized, such as demographic and clinical aspects, and the association between mortality and these variables was analyzed.
Results.
Hospital mortality was 30.7%, finding conditions related to mortality to be the location of the septic source in the upper abdomen, the presence of pain in the upper abdomen, care in the ICU, control of the focus in the first intervention, patients who underwent kidney failure, patient age, and hemoglobin values.
Conclusion.
Mortality rates were found in the studied cohort twice higher than those reported in South America and 1.5 times higher than those of the rest of the country. The greatest predictive power of mortality in the bivariate analysis was given by the presence of kidney failure and hemoglobin.
Keywords : secondary peritonitis; morbidity; mortality; risk factors; surgery.
