Boer et al identified risk factors for impaired quality of life in patients treated for secondary peritonitis. This can help identify patients who may benefit from closer monitoring after hospital discharge. The authors are from the Academic Medical Center in Amsterdam, The Netherlands.



(1) age

(2) gender

(3) enterostomy

(4) purulent peritonitis

(5) length of hospitalization (summary value for duration of ICU stay, ventilation, and need for re-exploration)

(6) comorbidity measured by the Charlson index

(7) fecal contamination


Risk factors for poor quality of life:

(1) female gender

(2) presence of an enterostomy

(3) purulent contamination

(4) prolonged hospitalization

(5) severe comorbid disease


Risk factors for poor mobility:

(1) older age

(2) female gender

(3) enterostomy

(4) prolonged hospitalization


Risk factors for reduced ability for self-care:

(1) enterostomy

(2) prolonged hospitalization

(3) severe comorbid disease


Risk factors for depression and/or anxiety:

(1) younger age

(2) purulent contamination

(3) fecal contamination


Risk factor for poor Karnofsky score:

(1) prolonged hospitalization


Risk factor for pain:

(1) female gender


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