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Article: Comparison between two mobile pre-hospital care services for trauma patients.

Gonsaga, Ricardo Alessandro Teixeira / Brugugnolli, Izabela Dias / Fraga, Gustavo Pereira

World journal of emergency surgery : WJES

2012 Volume 7 Suppl 1, Page(s) S6

Abstract: Objectives: Pre-hospital care (PH) in Brazil is currently in the phase of implementation and expansion, and there are few studies on the impacts of this public health service. The purpose of this study is to assess the quality of care and severity of ... ...

Abstract	Objectives: Pre-hospital care (PH) in Brazil is currently in the phase of implementation and expansion, and there are few studies on the impacts of this public health service. The purpose of this study is to assess the quality of care and severity of trauma among the population served, using trauma scores, attendance response times, and mortality rates. This work compares two pre-hospital systems: the Mobile Emergency Care Service, or SAMU 192, and the Fire Brigade Group, or CB. Method: Descriptive study evaluating all patients transported by both systems in Catanduva, SP, admitted to a single hospital. Results: 850 patients were included, most of whom were men (67.5%); the mean age was 38.5 ± 18.5 years. Regarding the use of PH systems, most patients were transported by SAMU (62.1%). The trauma mechanisms involved motorcycle accidents in 32.7% of cases, transferred predominantly by SAMU, followed by falls (25.8%). Regarding the response time, CB showed the lowest rates. In relation to patient outcome, only 15.5% required hospitalization. The average score on the Glasgow Coma Scale was 14.7 ± 1.3; average RTS was 7.7 ± 0.7; ISS 3.8 ± 5.9; and average TRISS 97.6 ± 9.3. The data analysis showed no statistical differences in mortality between the groups studied (SAMU - 1.5%; CB - 2.5%). The trauma scores showed a higher severity of trauma among the fatal victims. Conclusion: Trauma victims are predominantly young and male; the trauma mechanism that accounted for the majority of PH cases was motorcycle accidents; CB responded more quickly than SAMU; and there was no statistical difference between the services of SAMU and CB in terms of severity of the trauma and mortality rates.
Language	English
Publishing date	2012-08-22
Publishing country	England
Document type	Journal Article
ISSN	1749-7922
ISSN	1749-7922
DOI	10.1186/1749-7922-7-S1-S6
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Perfil de crianças e adolescentes internados em Unidade de Tratamento de Queimados do interior do estado de São Paulo.

Biscegli, Terezinha Soares / Benati, Larissa Delázari / Faria, Rafaela Sperandio / Boeira, Taís Romano / Cid, Felipe Biscegli / Gonsaga, Ricardo Alessandro Teixeira

Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo

2014 Volume 32, Issue 3, Page(s) 177–182

Abstract: Objective: To describe the profile of pediatric burn victims hospitalized at Hospital-Escola Padre Albino (HEPA), in Catanduva, São Paulo, Brazil.: Methods: This was a cross-sectional, retrospective study analyzing 446 medical records of patient aged ...

Title translation	Profile of children and adolescents admitted to a Burn Care Unit in the countryside of the state of São Paulo.
Abstract	Objective: To describe the profile of pediatric burn victims hospitalized at Hospital-Escola Padre Albino (HEPA), in Catanduva, São Paulo, Brazil. Methods: This was a cross-sectional, retrospective study analyzing 446 medical records of patient aged 0-18 years old hospitalized in the Burn Care Unit of HEPA, from 2002 to 2012. The following variables were recorded: demographic data, skin burn causes, lesions characteristics, complications, surgical procedures, length of hospital stay, and outcome. Descriptive statistics were used. Results: 382 patients with full medical records were included in the study. Burns were more frequent in males (64.4%) and in children aged less than 6 years (52.9%). Most accidents occurred at home (67.3%) and hot liquids were responsible for 47.1% of them. Mean burnt body surface was 18% and the most affected body areas were chest and limbs. First- and second-degree burns were observed in 64.4% of the cases. Secondary infection and surgical procedures occurred in 6.5% and 45.0% of the patients, respectively. Mean length of hospital stay was 9.8 days. The mortality rate was 1.6%. Conclusions: Preschool children were the main victims of burns occurring at home, representing the largest contingent of hospitalizations due to this cause in individuals aged < 18 years. It is important to develop strategies to alert parents and general society through educational programs and preventive campaigns.
MeSH term(s)	Adolescent ; Burn Units/statistics & numerical data ; Burns/epidemiology ; Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Humans ; Infant ; Male ; Patient Admission/statistics & numerical data ; Retrospective Studies ; Rural Health
Language	Portuguese
Publishing date	2014-09
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2560228-7
ISSN	1984-0462 ; 0103-0582
ISSN (online)	1984-0462
ISSN	0103-0582
DOI	10.1590/0103-0582201432305
Database	MEDical Literature Analysis and Retrieval System OnLINE

2012 Volume 39, Issue 4, Page(s) 263–267

Abstract: Objective: External causes have become an important public health problem due to their high mortality, morbidity, costs, the loss of potential years of life and the impact for individuals, their families and society. The aim of this study was to analyze ...

Abstract	Objective: External causes have become an important public health problem due to their high mortality, morbidity, costs, the loss of potential years of life and the impact for individuals, their families and society. The aim of this study was to analyze the characteristics of fatal victims of trauma in a microregion from São Paulo State. Method: This was a retrospective, transverse, exploratory and descriptive study. The Coroner's Office (IML) of Catanduva - SP - provided 511 medical records of the victims of external causes from 2008-2011. It was performed a survey and a review of those records and the data retrieved regarded gender, age, intentionality and mechanism of external cause. Results: The mortality predominance was on male individuals (77.9% of the cases - p<0.001). Deaths classified as non intentional represented 66.9%, where as the intentional ones represented 33.1% (p<0.0001). Accidents caused by land transports were responsible for 45.6% of cases, being the main cause for the deaths analyzed. On second place there were suicides (16%), followed by the homicides (13.9%). Conclusion: The results of the present study were different from the profiles found in some other Brazilian studies, approaching to the reality of the developed countries, considering non-intentionality as preponderant and the main causes were accidents by land transports, suicides and homicides, respectively. Improvements should be done to assure the quality of information in the documentation of Forensic Physicians, since the lack of information in the Death Certificate was one of the difficulties found by the authors.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cause of Death ; Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Humans ; Infant ; Male ; Middle Aged ; Retrospective Studies ; Wounds and Injuries/mortality ; Young Adult
Language	Portuguese
Publishing date	2012-08-30
Publishing country	Brazil
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2223714-8
ISSN	1809-4546 ; 0100-6991
ISSN (online)	1809-4546
ISSN	0100-6991
DOI	10.1590/s0100-69912012000400004
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Article ; Online: Evaluation of gasometric parameters in trauma patients during mobile prehospital care.

Gonsaga, Ricardo Alessandro Teixeira / Valiatti, Jorge Luis dos Santos / Brugugnolli, Izabela Dias / Gilioli, João Paulo / Valiatti, Mariana Farina / Neves, Nathalie / Sertorio, Natalia Dias / Fraga, Gustavo Pereira

Revista do Colegio Brasileiro de Cirurgioes

2013 Volume 40, Issue 4, Page(s) 293–299

Abstract: Objective: To evaluate gasometric differences of severe trauma patients requiring intubation in prehospital care.: Methods: Patients requiring airway management were submitted to collection of arterial blood samples at the beginning of pre-hospital ... ...

Abstract	Objective: To evaluate gasometric differences of severe trauma patients requiring intubation in prehospital care. Methods: Patients requiring airway management were submitted to collection of arterial blood samples at the beginning of pre-hospital care and at arrival at the Emergency Room. We analyzed: Glasgow Coma Scale, respiratory rate, arterial pH, arterial partial pressure of CO2 (PaCO2), arterial partial pressure of O2 (PaO2), base excess (BE), hemoglobin O2 saturation (SpO2) and the relation of PaO2 and inspired O2 (PaO2/FiO2). Results: There was statistical significance of the mean differences between the data collected at the site of the accident and at the entrance of the ER as for respiratory rate (p = 0.0181), Glasgow Coma Scale (p = 0.0084), PaO2 (p <0.0001) and SpO2 (p = 0.0018). Conclusion: tracheal intubation changes the parameters PaO2 and SpO2. There was no difference in metabolic parameters (pH, bicarbonate and base excess). In the analysis of blood gas parameters between survivors and non-survivors there was statistical difference between PaO2, hemoglobin oxygen saturation and base excess.
MeSH term(s)	Adult ; Blood Gas Analysis ; Emergency Medical Services ; Female ; Humans ; Intubation, Intratracheal ; Longitudinal Studies ; Male ; Prospective Studies ; Wounds and Injuries/metabolism ; Wounds and Injuries/therapy
Language	Portuguese
Publishing date	2013-10-29
Publishing country	Brazil
Document type	Journal Article ; Observational Study
ZDB-ID	2223714-8
ISSN	1809-4546 ; 0100-6991
ISSN (online)	1809-4546
ISSN	0100-6991
DOI	10.1590/s0100-69912013000400007
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Article: World society of emergency surgery study group initiative on Timing of Acute Care Surgery classification (TACS).

Kluger, Yoram / Ben-Ishay, Offir / Sartelli, Massimo / Ansaloni, Luca / Abbas, Ashraf E / Agresta, Ferdinando / Biffl, Walter L / Baiocchi, Luca / Bala, Miklosh / Catena, Fausto / Coimbra, Raul / Cui, Yunfeng / Di Saverio, Salomone / Das, Koray / El Zalabany, Tamer / Fraga, Gustavo P / Gomes, Carlos Augusto / Gonsaga, Ricardo Alessandro Teixeira / Kenig, Jakub /

Leppäniemi, Ari / Marwah, Sanjay / Junior, Gerson Alves Pereira / Sakakushev, Boris / Siribumrungwong, Boonying / Sato, Norio / Tranà, Cristian / Vettoretto, Nereo / Moore, Ernest E

World journal of emergency surgery : WJES

2013 Volume 8, Issue 1, Page(s) 17

Abstract: Timing of surgical intervention is critical for outcomes of patients diagnosed with surgical emergencies. Facing the challenge of multiple patients requiring emergency surgery, or of limited resource availability, the acute care surgeon must triage ... ...

Abstract	Timing of surgical intervention is critical for outcomes of patients diagnosed with surgical emergencies. Facing the challenge of multiple patients requiring emergency surgery, or of limited resource availability, the acute care surgeon must triage patients according to their disease process and physiological state. Emergency operations from all surgical disciplines should be scheduled by an agreed time frame that is based on accumulated data of outcomes related to time elapsed from diagnosis to surgery. Although literature exists regarding the optimal timing of various surgical interventions, implementation of protocols for triage of surgical emergencies is lacking. For institutions of a repetitive triage mechanism, further discussion on optimal timing of surgery in diverse surgical emergencies should be encouraged. Standardizing timing of interventions in surgical emergencies will promote clinical investigation as well as a commitment by administrative authorities to proper operating theater provision for acute care surgery.
Language	English
Publishing date	2013-05-01
Publishing country	England
Document type	Editorial
ISSN	1749-7922
ISSN	1749-7922
DOI	10.1186/1749-7922-8-17
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Article: Complicated intra-abdominal infections in a worldwide context: an observational prospective study (CIAOW Study).

Sartelli, Massimo / Catena, Fausto / Ansaloni, Luca / Moore, Ernest / Malangoni, Mark / Velmahos, George / Coimbra, Raul / Koike, Kaoru / Leppaniemi, Ari / Biffl, Walter / Balogh, Zsolt / Bendinelli, Cino / Gupta, Sanjay / Kluger, Yoram / Agresta, Ferdinando / Di Saverio, Salomone / Tugnoli, Gregorio / Jovine, Elio / Ordonez, Carlos /

Gomes, Carlos Augusto / Junior, Gerson Alves Pereira / Yuan, Kuo-Ching / Bala, Miklosh / Peev, Miroslav P / Cui, Yunfeng / Marwah, Sanjay / Zachariah, Sanoop / Sakakushev, Boris / Kong, Victor / Ahmed, Adamu / Abbas, Ashraf / Gonsaga, Ricardo Alessandro Teixeira / Guercioni, Gianluca / Vettoretto, Nereo / Poiasina, Elia / Ben-Ishay, Offir / Díaz-Nieto, Rafael / Massalou, Damien / Skrovina, Matej / Gerych, Ihor / Augustin, Goran / Kenig, Jakub / Khokha, Vladimir / Tranà, Cristian / Kok, Kenneth Yuh Yen / Mefire, Alain Chichom / Lee, Jae Gil / Hong, Suk-Kyung / Segovia Lohse, Helmut Alfredo / Ghnnam, Wagih / Verni, Alfredo / Lohsiriwat, Varut / Siribumrungwong, Boonying / Tavares, Alberto / Baiocchi, Gianluca / Das, Koray / Jarry, Julien / Zida, Maurice / Sato, Norio / Murata, Kiyoshi / Shoko, Tomohisa / Irahara, Takayuki / Hamedelneel, Ahmed O / Naidoo, Noel / Adesunkanmi, Abdul Rashid Kayode / Kobe, Yoshiro / Attri, Ak / Sharma, Rajeev / Coccolini, Federico / El Zalabany, Tamer / Khalifa, Khalid Al / Sanjuan, Juan / Barnabé, Rita / Ishii, Wataru

World journal of emergency surgery : WJES

2013 Volume 8, Issue 1, Page(s) 1

Abstract: Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high. The World Society of Emergency Surgery (WSES) has designed the CIAOW study in order to ... ...

Abstract	Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high. The World Society of Emergency Surgery (WSES) has designed the CIAOW study in order to describe the clinical, microbiological, and management-related profiles of both community- and healthcare-acquired complicated intra-abdominal infections in a worldwide context. The CIAOW study (Complicated Intra-Abdominal infection Observational Worldwide Study) is a multicenter observational study currently underway in 57 medical institutions worldwide. The study includes patients undergoing surgery or interventional drainage to address complicated intra-abdominal infections. This preliminary report includes all data from almost the first two months of the six-month study period. Patients who met inclusion criteria with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study. 702 patients with a mean age of 49.2 years (range 18-98) were enrolled in the study. 272 patients (38.7%) were women and 430 (62.3%) were men. Among these patients, 615 (87.6%) were affected by community-acquired IAIs while the remaining 87 (12.4%) suffered from healthcare-associated infections. Generalized peritonitis was observed in 304 patients (43.3%), whereas localized peritonitis or abscesses was registered in 398 (57.7%) patients.The overall mortality rate was 10.1% (71/702). The final results of the CIAOW Study will be published following the conclusion of the study period in March 2013.
Language	English
Publishing date	2013-01-03
Publishing country	England
Document type	Journal Article
ISSN	1749-7922
ISSN	1749-7922
DOI	10.1186/1749-7922-8-1
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Complicated intra-abdominal infections in a worldwide context

Sartelli Massimo / Catena Fausto / Ansaloni Luca / Moore Ernest / Malangoni Mark / Velmahos George / Coimbra Raul / Koike Kaoru / Leppaniemi Ari / Biffl Walter / Balogh Zsolt / Bendinelli Cino / Gupta Sanjay / Kluger Yoram / Agresta Ferdinando / di Saverio Salomone / Tugnoli Gregorio / Jovine Elio / Ordonez Carlos /

Gomes Carlos Augusto / Junior Gerson Alves Pereira / Yuan Kuo-Ching / Bala Miklosh / Peev Miroslav P / Cui Yunfeng / Marwah Sanjay / Zachariah Sanoop / Sakakushev Boris / Kong Victor / Ahmed Adamu / Abbas Ashraf / Gonsaga Ricardo Alessandro Teixeira / Guercioni Gianluca / Vettoretto Nereo / Poiasina Elia / Ben-Ishay Offir / Díaz-Nieto Rafael / Massalou Damien / Skrovina Matej / Gerych Ihor / Augustin Goran / Kenig Jakub / Khokha Vladimir / Tranà Cristian / Kok Kenneth Yuh Yen / Mefire Alain Chichom / Lee Jae Gil / Hong Suk-Kyung / Lohse Helmut Alfredo Segovia / Ghnnam Wagih / Verni Alfredo / Lohsiriwat Varut / Siribumrungwong Boonying / Tavares Alberto / Baiocchi Gianluca / Das Koray / Jarry Julien / Zida Maurice / Sato Norio / Murata Kiyoshi / Shoko Tomohisa / Irahara Takayuki / Hamedelneel Ahmed O / Naidoo Noel / Adesunkanmi Abdul Rashid Kayode / Kobe Yoshiro / Attri AK / Sharma Rajeev / Coccolini Federico / El Zalabany Tamer / Khalifa Khalid Al / Sanjuan Juan / Barnabé Rita / Ishii Wataru

World Journal of Emergency Surgery, Vol 8, Iss 1, p

an observational prospective study (CIAOW Study)

2013 Volume 1

Abstract: Abstract Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high. The World Society of Emergency Surgery (WSES) has designed the CIAOW study in ... ...

Abstract	Abstract Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high. The World Society of Emergency Surgery (WSES) has designed the CIAOW study in order to describe the clinical, microbiological, and management-related profiles of both community- and healthcare-acquired complicated intra-abdominal infections in a worldwide context. The CIAOW study (Complicated Intra-Abdominal infection Observational Worldwide Study) is a multicenter observational study currently underway in 57 medical institutions worldwide. The study includes patients undergoing surgery or interventional drainage to address complicated intra-abdominal infections. This preliminary report includes all data from almost the first two months of the six-month study period. Patients who met inclusion criteria with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study. 702 patients with a mean age of 49.2 years (range 18–98) were enrolled in the study. 272 patients (38.7%) were women and 430 (62.3%) were men. Among these patients, 615 (87.6%) were affected by community-acquired IAIs while the remaining 87 (12.4%) suffered from healthcare-associated infections. Generalized peritonitis was observed in 304 patients (43.3%), whereas localized peritonitis or abscesses was registered in 398 (57.7%) patients. The overall mortality rate was 10.1% (71/702). The final results of the CIAOW Study will be published following the conclusion of the study period in March 2013.
Keywords	Surgery ; RD1-811 ; Medicine ; R ; DOAJ:Surgery ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Subject code	610 ; 616
Language	English
Publishing date	2013-01-01T00:00:00Z
Publisher	BioMed Central
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Complicated intra-abdominal infections worldwide: the definitive data of the CIAOW Study.

Sartelli, Massimo / Catena, Fausto / Ansaloni, Luca / Coccolini, Federico / Corbella, Davide / Moore, Ernest E / Malangoni, Mark / Velmahos, George / Coimbra, Raul / Koike, Kaoru / Leppaniemi, Ari / Biffl, Walter / Balogh, Zsolt / Bendinelli, Cino / Gupta, Sanjay / Kluger, Yoram / Agresta, Ferdinando / Di Saverio, Salomone / Tugnoli, Gregorio /

Jovine, Elio / Ordonez, Carlos A / Whelan, James F / Fraga, Gustavo P / Gomes, Carlos Augusto / Pereira, Gerson Alves / Yuan, Kuo-Ching / Bala, Miklosh / Peev, Miroslav P / Ben-Ishay, Offir / Cui, Yunfeng / Marwah, Sanjay / Zachariah, Sanoop / Wani, Imtiaz / Rangarajan, Muthukumaran / Sakakushev, Boris / Kong, Victor / Ahmed, Adamu / Abbas, Ashraf / Gonsaga, Ricardo Alessandro Teixeira / Guercioni, Gianluca / Vettoretto, Nereo / Poiasina, Elia / Díaz-Nieto, Rafael / Massalou, Damien / Skrovina, Matej / Gerych, Ihor / Augustin, Goran / Kenig, Jakub / Khokha, Vladimir / Tranà, Cristian / Kok, Kenneth Yuh Yen / Mefire, Alain Chichom / Lee, Jae Gil / Hong, Suk-Kyung / Lohse, Helmut Alfredo Segovia / Ghnnam, Wagih / Verni, Alfredo / Lohsiriwat, Varut / Siribumrungwong, Boonying / El Zalabany, Tamer / Tavares, Alberto / Baiocchi, Gianluca / Das, Koray / Jarry, Julien / Zida, Maurice / Sato, Norio / Murata, Kiyoshi / Shoko, Tomohisa / Irahara, Takayuki / Hamedelneel, Ahmed O / Naidoo, Noel / Adesunkanmi, Abdul Rashid Kayode / Kobe, Yoshiro / Ishii, Wataru / Oka, Kazuyuki / Izawa, Yoshimitsu / Hamid, Hytham / Khan, Iqbal / Attri, Ak / Sharma, Rajeev / Sanjuan, Juan / Badiel, Marisol / Barnabé, Rita

World journal of emergency surgery : WJES

2014 Volume 9, Page(s) 37

Abstract: The CIAOW study (Complicated intra-abdominal infections worldwide observational study) is a multicenter observational study underwent in 68 medical institutions worldwide during a six-month study period (October 2012-March 2013). The study included ... ...

Abstract	The CIAOW study (Complicated intra-abdominal infections worldwide observational study) is a multicenter observational study underwent in 68 medical institutions worldwide during a six-month study period (October 2012-March 2013). The study included patients older than 18 years undergoing surgery or interventional drainage to address complicated intra-abdominal infections (IAIs). 1898 patients with a mean age of 51.6 years (range 18-99) were enrolled in the study. 777 patients (41%) were women and 1,121 (59%) were men. Among these patients, 1,645 (86.7%) were affected by community-acquired IAIs while the remaining 253 (13.3%) suffered from healthcare-associated infections. Intraperitoneal specimens were collected from 1,190 (62.7%) of the enrolled patients. 827 patients (43.6%) were affected by generalized peritonitis while 1071 (56.4%) suffered from localized peritonitis or abscesses. The overall mortality rate was 10.5% (199/1898). According to stepwise multivariate analysis (PR = 0.005 and PE = 0.001), several criteria were found to be independent variables predictive of mortality, including patient age (OR = 1.1; 95%CI = 1.0-1.1; p < 0.0001), the presence of small bowel perforation (OR = 2.8; 95%CI = 1.5-5.3; p < 0.0001), a delayed initial intervention (a delay exceeding 24 hours) (OR = 1.8; 95%CI = 1.5-3.7; p < 0.0001), ICU admission (OR = 5.9; 95%CI = 3.6-9.5; p < 0.0001) and patient immunosuppression (OR = 3.8; 95%CI = 2.1-6.7; p < 0.0001).
Language	English
Publishing date	2014-05-14
Publishing country	England
Document type	Journal Article
ISSN	1749-7922
ISSN	1749-7922
DOI	10.1186/1749-7922-9-37
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Article: Global validation of the WSES Sepsis Severity Score for patients with complicated intra-abdominal infections: a prospective multicentre study (WISS Study).

Sartelli, Massimo / Abu-Zidan, Fikri M / Catena, Fausto / Griffiths, Ewen A / Di Saverio, Salomone / Coimbra, Raul / Ordoñez, Carlos A / Leppaniemi, Ari / Fraga, Gustavo P / Coccolini, Federico / Agresta, Ferdinando / Abbas, Asrhaf / Abdel Kader, Saleh / Agboola, John / Amhed, Adamu / Ajibade, Adesina / Akkucuk, Seckin / Alharthi, Bandar / Anyfantakis, Dimitrios /

Augustin, Goran / Baiocchi, Gianluca / Bala, Miklosh / Baraket, Oussama / Bayrak, Savas / Bellanova, Giovanni / Beltràn, Marcelo A / Bini, Roberto / Boal, Matthew / Borodach, Andrey V / Bouliaris, Konstantinos / Branger, Frederic / Brunelli, Daniele / Catani, Marco / Che Jusoh, Asri / Chichom-Mefire, Alain / Cocorullo, Gianfranco / Colak, Elif / Costa, David / Costa, Silvia / Cui, Yunfeng / Curca, Geanina Loredana / Curry, Terry / Das, Koray / Delibegovic, Samir / Demetrashvili, Zaza / Di Carlo, Isidoro / Drozdova, Nadezda / El Zalabany, Tamer / Enani, Mushira Abdulaziz / Faro, Mario / Gachabayov, Mahir / Giménez Maurel, Teresa / Gkiokas, Georgios / Gomes, Carlos Augusto / Gonsaga, Ricardo Alessandro Teixeira / Guercioni, Gianluca / Guner, Ali / Gupta, Sanjay / Gutierrez, Sandra / Hutan, Martin / Ioannidis, Orestis / Isik, Arda / Izawa, Yoshimitsu / Jain, Sumita A / Jokubauskas, Mantas / Karamarkovic, Aleksandar / Kauhanen, Saila / Kaushik, Robin / Kenig, Jakub / Khokha, Vladimir / Kim, Jae Il / Kong, Victor / Koshy, Renol / Krasniqi, Avidyl / Kshirsagar, Ashok / Kuliesius, Zygimantas / Lasithiotakis, Konstantinos / Leão, Pedro / Lee, Jae Gil / Leon, Miguel / Lizarazu Pérez, Aintzane / Lohsiriwat, Varut / López-Tomassetti Fernandez, Eudaldo / Lostoridis, Eftychios / Mn, Raghuveer / Major, Piotr / Marinis, Athanasios / Marrelli, Daniele / Martinez-Perez, Aleix / Marwah, Sanjay / McFarlane, Michael / Melo, Renato Bessa / Mesina, Cristian / Michalopoulos, Nick / Moldovanu, Radu / Mouaqit, Ouadii / Munyika, Akutu / Negoi, Ionut / Nikolopoulos, Ioannis / Nita, Gabriela Elisa / Olaoye, Iyiade / Omari, Abdelkarim / Ossa, Paola Rodríguez / Ozkan, Zeynep / Padmakumar, Ramakrishnapillai / Pata, Francesco / Pereira Junior, Gerson Alves / Pereira, Jorge / Pintar, Tadeja / Pouggouras, Konstantinos / Prabhu, Vinod / Rausei, Stefano / Rems, Miran / Rios-Cruz, Daniel / Sakakushev, Boris / Sánchez de Molina, Maria Luisa / Seretis, Charampolos / Shelat, Vishal / Simões, Romeo Lages / Sinibaldi, Giovanni / Skrovina, Matej / Smirnov, Dmitry / Spyropoulos, Charalampos / Tepp, Jaan / Tezcaner, Tugan / Tolonen, Matti / Torba, Myftar / Ulrych, Jan / Uzunoglu, Mustafa Yener / van Dellen, David / van Ramshorst, Gabrielle H / Vasquez, Giorgio / Venara, Aurélien / Vereczkei, Andras / Vettoretto, Nereo / Vlad, Nutu / Yadav, Sanjay Kumar / Yilmaz, Tonguç Utku / Yuan, Kuo-Ching / Zachariah, Sanoop Koshy / Zida, Maurice / Zilinskas, Justas / Ansaloni, Luca

World journal of emergency surgery : WJES

2015 Volume 10, Page(s) 61

Abstract: Background: To validate a new practical Sepsis Severity Score for patients with complicated intra-abdominal infections (cIAIs) including the clinical conditions at the admission (severe sepsis/septic shock), the origin of the cIAIs, the delay in source ... ...

Abstract	Background: To validate a new practical Sepsis Severity Score for patients with complicated intra-abdominal infections (cIAIs) including the clinical conditions at the admission (severe sepsis/septic shock), the origin of the cIAIs, the delay in source control, the setting of acquisition and any risk factors such as age and immunosuppression. Methods: The WISS study (WSES cIAIs Score Study) is a multicenter observational study underwent in 132 medical institutions worldwide during a four-month study period (October 2014-February 2015). Four thousand five hundred thirty-three patients with a mean age of 51.2 years (range 18-99) were enrolled in the WISS study. Results: Univariate analysis has shown that all factors that were previously included in the WSES Sepsis Severity Score were highly statistically significant between those who died and those who survived (p < 0.0001). The multivariate logistic regression model was highly significant (p < 0.0001, R2 = 0.54) and showed that all these factors were independent in predicting mortality of sepsis. Receiver Operator Curve has shown that the WSES Severity Sepsis Score had an excellent prediction for mortality. A score above 5.5 was the best predictor of mortality having a sensitivity of 89.2 %, a specificity of 83.5 % and a positive likelihood ratio of 5.4. Conclusions: WSES Sepsis Severity Score for patients with complicated Intra-abdominal infections can be used on global level. It has shown high sensitivity, specificity, and likelihood ratio that may help us in making clinical decisions.
Language	English
Publishing date	2015
Publishing country	England
Document type	Journal Article
ISSN	1749-7922
ISSN	1749-7922
DOI	10.1186/s13017-015-0055-0
Database	MEDical Literature Analysis and Retrieval System OnLINE

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