Der APACHE-II-Score erlaubt die Zuordnung und den Vergleich von Patientengruppen mit Sepsis und Peritonitis nach dem Schweregrad der Erkrankung. Im Gegensatz zur Literatur befinden sich unterschiedliche Scores zwischen der Gruppe der Überlebenden und der Verstorbenen erst nach einer Woche der Intensivtherapie. Als Verlaufs- und Prognoseparameter für den einzelnen Patienten ist der APACHE-II-Score ungeeignet. Ein valider Score im Hinblick auf die Prognose des Patienten mit Sepsis und Peritonitis muβ auch Erfolg oder Miβerfolg der Erstoperation berücksichtigen. Von 1983 bis 1990 starben in unserer Klinik 12,3% der Patienten, wenn die Quelle von Sepsis und Peritonitis in der Erstoperation saniert werden konnte. 40,4% verstarben, wenn dies nicht gelang.

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