Generalized peritonitis strategy score: concept of creation and development of a new score for surgical stratification of patients with generalized peritonitis

The continuing high postoperative mortality rate in advanced peritonitis complicated of sepsis and septic shock indicate not only the complexity of the problem, the difficulty of its radical solution for many decades, despite modern achievements in intensive care and surgery, but also the need for further search for various methods and strategic approaches in the treatment of this category of patients. To date, there are still no clear criteria for the use of one or another surgical strategy for the treatment of peritonitis. Many prognostic scores are mainly aimed to assess the risk of mortality and are characterized by complex calculations with the determination of a large number of parameters.Introduction. Assessing the severity of peritonitis is a difficult task that carries a certain layer of subjectivity, multiplied by the experience of the surgeon and the severity of the patient's condition with peritonitis. The score for peritonitis helps the surgeon in deciding on the choice of treatment strategy for a patient with peritonitis.The purpose of the study. An attempt to create a new stratification scale for patients with advanced peritonitis to select the type of access and subsequent patient management strategy.Materials and methods of research. A retrospective analysis of 634 patients with advanced peritonitis for the period 2011-2019.The results of the treatment. The Generalized Peritonitis Strategy Score for advanced peritonitis has been developed.Conclusion. The Generalized Peritonitis Strategy Score for advanced peritonitis demonstrates the potential in predicting not only the level of postoperative mortality, but also the choice of surgical intervention access and subsequent surgical management strategy for patients with advanced peritonitis.