Principales escalas predictoras de mortalidad asociadas a shock séptico de origen abdominal en adultos

Abstract

Background: sepsis is defined as a condition that causes organ dysfunction, the abdominal type is the second most frequent cause of admission to the intensive care unit, especially in countries with economic decline. Aim: to describe the efficiency of the main scales predicting mortality in the evaluation of septic shock of abdominal origin in adults. Method: literature review using Scopus, Pubmed and Cochrane databases. Results: the research describes the efficacy of mortality predictor scales through 8 articles, mainly Sequential Organ Failure Assessment and Acute Physiology Assessment System and Chronic Health Assessment over others described in adult patients with septic shock of abdominal origin, demonstrating a great benefit of their use on mortality prediction. Conclusions: the scales that predict mortality with the greatest predictive value include APACHE II and SOFA, although other systems such as SAPS II, MEWS, NEWS are also very significant with respect to prediction, and this will depend on the patient’s situation and comorbidities. The need for a scale that includes gastrointestinal criteria to facilitate the diagnosis and timely approach to septic shock of abdominal origin, including gastrointestinal signs and symptoms, will be more effective in predicting mortality.