Application of the Kiewiet-Van Ruler model to predict the need for relaparotomy in patients with secondary peritonitis.
Introduction
It is crucial the timely detection of a new infection or the persistence of it to improve the survival rates, there is no index that can determine the need for relaparotomy.


Objective
To evaluate the diagnostic certainty of the model elaborated by Kiewiet-Van Ruler.


Method
A retrospective, descriptive, cross-sectional study, patients diagnosed with abdominal sepsis who underwent exploratory laparotomy between January 2013 to and May 2015.


Results
We included 109 patients, 63 male patients and 46 female patients. Mortality of 16.5%. 68 cases had a score lower than or equal to 19, of which 17 -patients (43%) did need to reoperate. The second group with a score higher than 20 was 41 patients, of which 22 (56%) required reoperation. In the individual analysis of the variables, a significant value was determined in five of them, with p < 0.05. Only one variable (hemoglobin < 8.1 mg/dl) in the chi-square test and confidence interval was not significant and I do not help so much to predict reoperation.


Conclusions
The utility of the model proposed by Kiewiet-Van Ruler results in an acceptable prediction value for re laparotomy.
['Godínez-Vidal|Ansony R|AR|', 'Cinta-Egaña|Itziar A|IA|', 'Ornelas-Oñate|Luis A|LA|', 'García-Vivanco|Diego M|DM|', 'Gutiérrez-Uvalle|Gabriela E|GE|', 'Gracida-Mancilla|Noe I|NI|']
D000588:Amines D016009:Chi-Square Distribution D003248:Constipation D003430:Cross-Sectional Studies D005260:Female D006441:Hemoglobin A D006801:Humans D007813:Laparotomy D007958:Leukocyte Count D008297:Male D008800:Mexico D010538:Peritonitis D011183:Postoperative Complications D012372:ROC Curve D012086:Reoperation D012189:Retrospective Studies D018570:Risk Assessment D011795:Surveys and Questionnaires D013610:Tachycardia
Infection Sepsis Laparotomy Mortality Infección Laparotomía Mortalidad