PROGNOSTIC SCALE FOR THE SEVERITY CATEGORY OF EARLY INTRAPERITONEAL COMPLICATIONS AFTER BILIARY TRACT SURGERY

A.M. KHADJIBAEV, F.A. KHADJIBAEV, B.K. ALTIEV, M.M. PULATOV, U.R. RISKIEV

Abstract

Goal. The evaluation of the effectiveness of the usage of the modified SAPS scale in predicting the severity of early intraperitoneal complications (EIPC) after biliary tract surgery.Patients and methods. An assessment of the prognostic significance and statistical reliability of empirically selected anthropometric, clinical, instrumental and laboratory indicators of the risk of development and an assessment of the severity of the course of EIPC after biliary operations in КЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯ     6Вестник экстренной медицины, 2020, том 13, No6102 patients was carried out. In addition, in order to reveal the effectiveness of the scale, which was developed by us, for predicting the severity of the course of EIPC after biliary tract surgery, the prospective studies were carried out in 87 patients with the identification of such indicators of this scale as “sensitivity” and “specificity”.Results. Such indicators as age, consciousness, pulse, systolic blood pressure, body temperature of the patient, respiratory rate, daily urine output, level of urea, potassium, bilirubin in the blood, leukocytosis, Hb and Ht blood, intestinal peristalsis, presence of Kloiber’s cups (air-fluid level), free fluid in the abdominal cavity, the prevalence of peritonitis, the amount of bile secreted from the external fistula turned out to be prognostically significant. The severity of each of these indicators was evaluated in points from 1 to 3, the total amount of points formed the basis of a new modified integral scale for predicting the category of severity of the course of EIPC. This prognostic scale is distinguished by high sensitivity (80.8%), specificity (78.3%) and total accuracy (80.4%)