Bosscha et al developed a model for predicting mortality in a patient with peritonitis. This can help to identify a patient who may benefit from more aggressive management. The authors are from University Hospital of Utrecht in The Netherlands.
Patient selection: peritonitis
Parameters:
(1) APACHE II score within 24 hours of ICU admission
(2) MPI within first 24 hours of ICU admission
Parameter
Finding
Points
APACHE II
< 20
0
>= 20
1
MPI
<= 26
0
>= 27
1
total score =
= SUM(points for the 2 parameters)
Interpretation:
• minimum score: 0
• maximum score: 2
• The higher the score the higher the mortality rate.
Total Score
60-Day Mortality
0
0%
1
50%
2
100%
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