Death, Multiple Organ Failure, Peritonitis, Sepsis
Conditions
Keywords
Peritonitis, Sepsis, General Surgery, Intensive Care Units, Sensitivity and Specificity
Brief summary
The purpose of this study is to determine the diagnostic accuracy of Pancreatic Stone Protein (PSP) in predicting patient outcomes with suspected peritonitis in the Intensive Care Unit after abdominal surgery and compare PPS with other blood parameters, including C-Reactive Protein (CRP), White Cell Count (WCC), Interleucin-6 (IL-6) and Procalcitonin (PCT).
Detailed description
Peritonitis is a severe complication after abdominal surgery. Patients admitted at the Intensive Care Unit (ICU) following surgery bear the risk of localized infection, sepsis or septic shock. Prevention or early detection of such events is important to intervene with an appropriate therapeutic action and avoid risking a potentially life-threatening situation. White blood cell counts (WCC) and C-Reactive Protein (CRP), Interleucin-6 (IL-6) and Procalcitonin (PCT) have all been promising parameters, however, they are useful only in selective cases and have a limited diagnostic accuracy.
Interventions
Laparotomy, Laparoscopy
Ventilatory support
Abdominal ultrasound Computer Tomography Magnetic Resonance Imaging
Sponsors
Study design
Eligibility
Inclusion criteria
* Abdominal surgery. * Admission to the Intensive Care Unit (ICU). * Blood sampling within 3 hours from admission to the ICU * Patient over 18 years of age
Exclusion criteria
* Patients already treated for peritonitis. * Patients referred from other hospitals with suspicion of peritonitis * Patient age less than 18 years of age.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Localization of Peritonitis | up to 2 months | Localised vs. diffused. A clinical finding intra-operatively and/or radiologically (i.e. CT or MRI) |
Countries
Germany