Bmc Surg
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Randomized Controlled Trial Comparative Study
Failure of available scoring systems to predict ongoing infection in patients with abdominal sepsis after their initial emergency laparotomy.
To examine commonly used scoring systems, designed to predict overall outcome in critically ill patients, for their ability to select patients with an abdominal sepsis that have ongoing infection needing relaparotomy. ⋯ None of the widely-used scoring systems to predict overall outcome in critically ill patients are of clinical value for the identification of patients with ongoing infection needing relaparotomy. There is a need to develop more specific tools to assist physicians in their daily monitoring and selection of these patients after the initial emergency laparotomy.