METHOD FOR ESTIMATING SEVERITY OF PATIENTS WITH SURGICAL SEPSIS Russian patent published in 2013 - IPC A61B5/21 A61B5/402 G01N33/49 G01N33/493 

FIELD: medicine.

SUBSTANCE: invention concerns medicine, particularly surgical diagnostics. The method involves measuring and analysing the pre-, intra-, and postoperative clinical, laboratory, instrumental and operative parameters. Age and blood pressure are taken into consideration. There are also determined fibrinosis, proteinuria, leukocyturia, low hematocrit. Besides, leukocytosis, peripheral blood immature neutrophils, increased ESR are evaluated. The immunoregulatory index variations are studied. The mental status is described. Levels of receptor antagonist interleukin, anemia, stab or segmental shift are determined. Hyperglycemia, lymphocytopenia, hematuria are taken into account. The ECG shows the conduction process variations. Additional evaluation is to be done to cover hypotension, hypofibrinogenemia, interleukin-8 (IL-8), low negative T waves on the ECG. A laparostomic wound, a phlegmon of the anterior abdominal wall, hyperbilirubinemia are assessed within the operative findings. Each value derived is assigned with a percentage. A severity of the patient's condition is determined by the percentage ratio of each factor in the overall prediction of a relative risk of death of 10 to 82%. And the risk of death of 10-39% shows the degree I severity of the patients. And the risk of death of 40-56% shows the degree II severity of the patients. And the risk of death of 57-82% shows the degree III severity of the patients.

EFFECT: method provides higher prediction accuracy of these group of patients with respect to the risk of death.

1 ex, 1 tbl