Peritonitis Infectious
Conditions
Keywords
Peritonitis, Capillary Leak Index, Conventional Biomarkers, Critically Ill Patients
Brief summary
This study aims to evaluate the prognostic significance of CLI in predicting 28-day mortality and other outcomes in critically ill patients who develop post-operative abdominal sepsis.
Interventions
Blood samples will be collected at three time points: within 1-2 hours of ICU admission (Day 0), Day 1, Day 2 and Day 7, to monitor trends in CLI and conventional biomarkers during the ICU stay. • CR
Sponsors
Study design
Eligibility
Inclusion criteria
Age ≥ 18 years. Postoperative secondary peritonitis requiring ICU admission, with clinical evidence of: Diffuse or localized abdominal pain/tenderness. Peritoneal signs (e.g., guarding, rigidity, rebound tenderness). Imaging or intraoperative confirmation of purulent/exudative intra-abdominal fluid. Systemic inflammation (e.g., fever, leukocytosis, or vasopressor requirement). Sepsis diagnosis per Sepsis-3 criteria: Suspected/confirmed infection with acute increase in SOFA score ≥2 points (6). Anticipated ICU stay ≥48 hours postoperatively.
Exclusion criteria
* Pregnancy * Advanced liver disease (Child-Pugh class B or C) that might independently affect albumin levels * Advanced kidney disease (CKD stage 4 or 5) or patients on chronic dialysis * Expected mortality within 48 hours of ICU admission * Patients with primary peritonitis or tertiary peritonitis * Immunocompromised patients (e.g., on chronic immunosuppressive therapy, solid organ transplant recipients, patients with HIV and CD4 count \<200/mm³) * Patients with pre-existing systemic inflammatory diseases that might affect baseline CRP levels * Patients participating in interventional trials that might affect outcomes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| all-cause mortality | From 1-10-2025 to 1-10-2026 |
Countries
Egypt