ASSESSMENT OF THE SEVERE OF THE PATIENT’S CONDITION IS AN INTEGRAL COMPONENT OF THE TREATMENT PROCESS FOR PATIENTS WITH ABDOMINAL SEPSIS

Abstract. To date, numerous studies continue to identify factors that significantly affect the outcome of treatment of intraperitoneal infections. The proposed work: to improve existing systems for assessing the severity of the patient’s condition by modification aimed at adapting to the capabilities of most domestic clinics. Material and methods. Based on the analysis of clinical and laboratory data obtained in 183 patients with acute peritonitis and abdominal sepsis, a scale for assessing the severity of patients was developed. Results. The developed scale of assessment of the severity of patients (OTSP) coincides with the most widespread system АРАСНЕ (Acute Physiology And Chronic Health Evaluation) II. Some changes and additions are related to the transfer of indicators to the international system of SI measurements, the use of regulatory data adopted in Ukraine, as well as the introduction of two new parameters. The scale system is based on numerical evaluation of clinical, physiological, laboratory and other parameters. The presence of clinical symptoms or deviations of physiological, biochemical parameters from the norm is determined by the number and values relating to one patient, added to the general scale. Conclusion. The proposed scale for assessing the severity of the patient’s condition is available and informative enough for use in patients with acute peritonitis and abdominal sepsis.