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Global validation of the WSES Sepsis Severity Score for patients with complicated intra-abdominal infections: a prospective multicentre study (WISS Study)

Sartelli M 1 , Abu-Zidan FM 2 , Catena F 3 , Griffiths EA 4 , Di Saverio S 5 , Coimbra R 6 Show all authors , Ordoñez CA 7 , Leppaniemi A 8 , Fraga GP 9 , Coccolini F 10 , Agresta F 11 , Abbas A 12 , Abdel Kader S 13 , Agboola J 14 , Amhed A 15 , Ajibade A 16 , Akkucuk S 17 , Alharthi B 18 , Anyfantakis D 19 , Augustin G 20 , Baiocchi G 21 , Bala M 22 , Baraket O 23 , Bayrak S 24 , Bellanova G 25 , Beltràn MA 26 , Bini R 27 , Boal M 4 , Borodach AV 28 , Bouliaris K 29 , Branger F 30 , Brunelli D 31 , Catani M 32 , Che Jusoh A 33 , Chichom-Mefire A 34 , Cocorullo G 35 , Colak E 36 , Costa D 37 , Costa S 38 , Cui Y 39 , Curca GL 40 , Curry T 6 , Das K 41 , Delibegovic S 42 , Demetrashvili Z 43 , Di Carlo I 44 , Drozdova N 45 , El Zalabany T 46 , Enani MA 47 , Faro M 48 , Gachabayov M 49 , Giménez Maurel T 50 , Gkiokas G 51 , Gomes CA 52 , Gonsaga RA 53 , Guercioni G 54 , Guner A 55 , Gupta S 56 , Gutierrez S 57 , Hutan M 58 , Ioannidis O 59 , Isik A 60 , Izawa Y 61 , Jain SA 62 , Jokubauskas M 63 , Karamarkovic A 64 , Kauhanen S 65 , Kaushik R 56 , Kenig J 66 , Khokha V 67 , Kim JI 68 , Kong V 69 , Koshy R 44 , Krasniqi A 70 , Kshirsagar A 71 , Kuliesius Z 72 , Lasithiotakis K 73 , Leão P 74 , Lee JG 75 , Leon M 76 , Lizarazu Pérez A 77 , Lohsiriwat V 78 , López-Tomassetti Fernandez E 79 , Lostoridis E 80 , Mn R 81 , Major P 82 , Marinis A 83 , Marrelli D 84 , Martinez-Perez A 85 , Marwah S 86 , McFarlane M 87 , Melo RB 88 , Mesina C 89 , Michalopoulos N 90 , Moldovanu R 91 , Mouaqit O 92 , Munyika A 93 , Negoi I 94 , Nikolopoulos I 95 , Nita GE 10 , Olaoye I 96 , Omari A 97 , Ossa PR 7 , Ozkan Z 98 , Padmakumar R 99 , Pata F 100 , Pereira Junior GA 101 , Pereira J 102 , Pintar T 103 , Pouggouras K 80 , Prabhu V 104 , Rausei S 105 , Rems M 106 , Rios-Cruz D 107 , Sakakushev B 108 , Sánchez de Molina ML 109 , Seretis C 110 , Shelat V 111 , Simões RL 9 , Sinibaldi G 112 , Skrovina M 113 , Smirnov D 114 , Spyropoulos C 115 , Tepp J 116 , Tezcaner T 117 , Tolonen M 8 , Torba M 118 , Ulrych J 119 , Uzunoglu MY 120 , van Dellen D 121 , van Ramshorst GH 122 , Vasquez G 123 , Venara A 30 , Vereczkei A 124 , Vettoretto N 125 , Vlad N 126 , Yadav SK 127 , Yilmaz TU 128 , Yuan KC 129 , Zachariah SK 130 , Zida M 131 , Zilinskas J 63 , Ansaloni L 10

Affiliations 

  • 1 Department of Surgery, Macerata Hospital, Macerata, Italy
  • 2 Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates
  • 3 Department of Emergency Surgery, Maggiore Hospital, Parma, Italy
  • 4 General and Upper GI Surgery, Queen Elizabeth Hospital, Birmingham, UK
  • 5 Department of Surgery, Maggiore Hospital, Bologna, Italy
  • 6 Department of Surgery, UC San Diego Medical Center, San Diego, USA
  • 7 Fundación Valle del Lili, Universidad del Valle, Cali, Colombia
  • 8 Abdominal Center, University Hospital Meilahti, Helsinki, Finland
  • 9 Division of Trauma Surgery, Hospital de Clinicas, School of Medical Sciences, University of Campinas, Campinas, Brazil
  • 10 General and Emergency Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy
  • 11 General Surgery, ULSS19 del Veneto, Adria, RO Italy
  • 12 Department of Surgery, Mansoura University Hospital, Mansoura, Egypt
  • 13 Department of General Surgery, Al Ain Hospital, Al-Ain City, United Arab Emirates
  • 14 Department of Surgery, Kwara State General Hospital, Ilorin, Nigeria
  • 15 Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Kaduna, Nigeria
  • 16 Department of Surgery, LAUTECH Teaching Hospital, Osogbo, Nigeria
  • 17 Department of General Surgery, Training and Research Hospital of Mustafa Kemal University, Hatay, Turkey
  • 18 Depatment of Surgery, King Fahad Medical City, Riyadh, Saudi Arabia
  • 19 Primary Health Care Centre of Kissamos, Chania, Greece
  • 20 Department of Surgery, University Hospital Center, Zagreb, Croatia
  • 21 Clinical and Experimental Surgery, Brescia Civil Hospital, Brescia, Italy
  • 22 Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel
  • 23 Department of Surgery, Bizerte Hospital, Bizerte, Tunisia
  • 24 Department of General Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey
  • 25 Surgical II Division, S. Chiara Hospital, Trento, Italy
  • 26 Department of General Surgery, Hospital San Juan de Dios de La Serena, La Serena, Chile
  • 27 Department of General and Emergency Surgery, SG Bosco Hospital, Turin, Italy
  • 28 Emergency Surgery Department, 1st Municipal Hospital, Novosibirsk State Medical University, Novosibirsk, Russian Federation
  • 29 Department of Surgery, University Hospital of Larissa, Larissa, Greece
  • 30 Visceral Surgery, CHU, Angers, France
  • 31 Chirurgia Generale, Ospedale di Città di Castello, Città di Castello, Italy
  • 32 Department of Emergency Surgery, Umberto I Hospital, "La Sapienza" University, Rome, Italy
  • 33 Department of Surgery, Kuala Krai Hospital, Kelantan, Malaysia
  • 34 Department of Surgery, Regional Hospital, Limbe, Cameroon
  • 35 General and Emergency Surgery, Policlinico Paolo Giaccone, Palermo, Italy
  • 36 Department of General Surgery, Samsun Education and Research Hospital, Samsun, Turkey
  • 37 Department of General and Digestive Tract Surgery, Alicante University General Hospital, Alicante, Spain
  • 38 Department of Surgery, CHVNG/E, EPE, Vila Nova de Gaia, Portugal
  • 39 Department of Surgery, Tianjin Nankai Hospital, Tianjin, China
  • 40 Department of General Surgery, Emergency Municipal Hospital Pascani, Pascani, Iasi Romania
  • 41 Department of Surgery, Numune Training and Research Hospital, Adana, Turkey
  • 42 Department of Surgery, University Clinical Center, Tuzla, Bosnia and Herzegovina
  • 43 Department General Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia
  • 44 Department of Surgery, Hamad General Hospital, Doha, Qatar
  • 45 Department of Surgery, Riga East Clinical University Hospital, Riga, Latvia
  • 46 Department of Surgery, Bahrain Defence Force Hospital, Manama, Bahrain
  • 47 King Fahad Medical City, Riyadh, Saudi Arabia
  • 48 Division of General and Emergency Surgery, Hospital Estadual Mario Covas, ABC School of Medicine, Santo André, Brazil
  • 49 Department of Surgery 1, Vladimir City Clinical Hospital of Emergency Medicine, Vladimir, Russian Federation
  • 50 Cirugía General y Digestiva, Hospital Universitario Miguel Servet, Zaragoza, Spain
  • 51 2nd Department of Surgery, Aretaieio University Hospital, Athens, Greece
  • 52 Department of Surgery, Hospital Universitário Terezinha de Jesus, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Juiz de Fora, Brazil
  • 53 Department of Surgery, Hospital Escola Padre Albino, Catanduva, Brazil
  • 54 Department of Surgery, Ascoli Piceno Hospital, Ascoli Piceno, Italy
  • 55 Department of General Surgery, Trabzon Kanuni Training and Research Hospital, Trabzon, Turkey
  • 56 Department of Surgery, Government Medical College and Hospital, Chandigarh, India
  • 57 Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia
  • 58 2nd Surgical Department of Medical Faculty Comenius University, University Hospital Bratislava, Bratislava, Slovakia
  • 59 2nd Surgical Department, General Hospital of Kavala, Kavala, Greece
  • 60 Department of Surgery, Mengucek Gazi Training Research Hospital, Erzincan, Turkey
  • 61 Department of Emergency and Critical Care Medicine, Jichi Medical University, Shimotsuke, Japan
  • 62 Department of Surgery, S M S Hospital, Jaipur, India
  • 63 Department of Surgery, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania
  • 64 Clinic for Emergency Surgery, Medical Faculty University of Belgrade, Belgrade, Serbia
  • 65 Division Digestive Surgery and Urology, Turku University Hospital, Turku, Finland
  • 66 3rd Department of General Surgery, Jagiellonian Univeristy Collegium Medium, Kraków, Poland
  • 67 Department of Emergency Surgery, City Hospital, Mozyr, Belarus
  • 68 Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea
  • 69 Department of Surgery, Edendale Hospital, Pietermaritzburg, South Africa
  • 70 Department of Surgery, University Clinical Center of Kosovo, Pristina, Kosovo
  • 71 Department of General Surgery, Krishna Hospital, Karad, India
  • 72 Department of General Surgery, Republican Vilnius University Hospital, Vilnius, Lithuania
  • 73 Department of Surgery, York Teaching Hospital NHS Foundation Trust, York, UK
  • 74 General Surgery/Coloretal Unit, Braga Hospital, Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal
  • 75 Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea
  • 76 Department of Surgery, Hospital La Paz, Madrid, Spain
  • 77 Cirugía de Urgencias, Hospital Universitario Donostia, Donostia, Spain
  • 78 Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • 79 Department of Surgery, Insular University Hospital of Gran Canaria, Las Palmas, Spain
  • 80 1st Department of Surgery, Kavala General Hospital, Kavala, Greece
  • 81 Department of General Surgery, Mysore Medical College and Research Institute, Government Medical College Hospital Mysore, Mysore, India
  • 82 2nd Department of Surgery, Jagiellonian University Medical College, Krakow, Poland
  • 83 First Department of Surgery, Tzaneio Hospital, Piraeus, Greece
  • 84 Department of General Surgery and Surgical Oncology, Le Scotte Hospital, Siena, Italy
  • 85 Department of Surgery, University Hospital, Valencia, Spain
  • 86 Department of Surgery, Post-Graduate Institute of Medical Sciences, Rohtak, India
  • 87 Department of Surgery, Radiology, University Hospital of the West Indies, Kingston, Jamaica
  • 88 General Surgery Department, Centro Hospitalar de São João, Porto, Portugal
  • 89 Second Surgical Clinic, Emergency Hospital of Craiova, Craiova, Romania
  • 90 3rd Department of Surgery, Haepa University Hospital, Thessaloniki, Greece
  • 91 Department of Surgery, CH Armentieres, Arras, France
  • 92 Surgery Department, University Hospital Hassan II, Fez, Morocco
  • 93 Department of Surgery, Onandjokwe Hospital, Ondangwa, Namibia
  • 94 Department of Surgery, Emergency Hospital of Bucharest, Bucharest, Romania
  • 95 Department of General Surgery, Lewisham & Greenwich NHS Trust, London, UK
  • 96 Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria
  • 97 Department of Surgery, King Abdalla University Hospital, Irbid, Jordan
  • 98 Department of Surgery, Elazig Training and Research Hospital, Elazig, Turkey
  • 99 Department of Laparoscopic and Metabolic Surgery, Sunrise Hospital, Kochi, India
  • 100 Department of Surgery, Sant'Antonio Abate Hospital, Gallarate, Italy
  • 101 Division of Emergency and Trauma Surgery, Ribeirão Preto Medical School, Ribeirão Preto, Brazil
  • 102 Surgery 1 Unit, Centro Hospitalar Tondela Viseu, Viseu, Portugal
  • 103 Department of Surgery, UMC Ljubljana, Ljubljana, Slovenia
  • 104 Department of Surgery, Bharati Medical College and Hospital, Sangli, India
  • 105 Department of Surgery, Insubria University Hospital, Varese, Italy
  • 106 Abdominal and General Surgery Department, General Hospital Jesenice, Jesenice, Slovenia
  • 107 Department of Surgery, Hospital de Alta Especialidad de Veracruz, Veracruz, Mexico
  • 108 General Surgery Department, Medical University, University Hospital St George, Plovdiv, Bulgaria
  • 109 Department of Surgery, Fundación Jimenez Díaz, Madrid, Spain
  • 110 Department of Surgery, Good Hope Hospital, Heart of England NHS Foundation Trust, Birmingham, UK
  • 111 Department of General Surgery, Tan Tock Seng Hospital, Novena, Singapore
  • 112 Departement of Surgery, Fatabenefratelli Isola Tiberina Hspital, Rome, Italy
  • 113 Department of Surgery, Hospital and Comprehensive Cancer Centre Novy Jicin, Novy Jicin, Czech Republic
  • 114 Department of General Surgery, Clinical Hospital at Chelyabinsk Station of OJSC "Russian Railroads", Chelyabinsk, Russian Federation
  • 115 3th Department of Surgery, Iaso General Hospital, Athens, Greece
  • 116 Department of Surgery, North Estonia Medical Center, Tallin, Estonia
  • 117 Department of Surgery, Baskent University Ankara Hospital, Ankara, Turkey
  • 118 General Surgery Service, Trauma University Hospital, Tirana, Albania
  • 119 1st Department of Surgery - Department of Abdominal, Thoracic Surgery and Traumatology, General University Hospital, Prague, Czech Republic
  • 120 Department of General Surgery, Sakarya Teaching and Research Hospital, Sakarya, Turkey
  • 121 Department of Renal and Pancreas Transplantation, Manchester Royal Infirmary, Manchester, UK
  • 122 Department of Surgery, Red Cross Hospital, Beverwijk, Netherlands
  • 123 Emergency Surgery, Arcispedale S.Anna Azienda Ospedaliero-Universitaria di Ferrara, Ferrara, Italy
  • 124 Department of Surgery, Medical School University Pecs, Pecs, Hungary
  • 125 Department of Surgery, Montichiari Hospital, Ospedali Civili Brescia, Brescia, Italy
  • 126 1st Surgical Clinic, St. Spiridon Hospital, Iasi, Romania
  • 127 Department of Surgery, Rajendra Institute of Medical Sciences, Ranchi, India
  • 128 Department of Surgery, Kocaeli University Training and Research Hospital, Kocaeli, Turkey
  • 129 Trauma and Emergency Surgery Department, Chang Gung Memorial Hospital, Taoyuan City, Taiwan
  • 130 Department of Surgery, MOSC Medical College Kolenchery, Cochin, India
  • 131 General and Digestive Surgery Department, Teaching Hospital Yalgado Ouedraogo, Ouagadougou, Burkina Faso
World J Emerg Surg, 2015;10:61.
PMID: 26677396 DOI: 10.1186/s13017-015-0055-0

Abstract

BACKGROUND: To validate a new practical Sepsis Severity Score for patients with complicated intra-abdominal infections (cIAIs) including the clinical conditions at the admission (severe sepsis/septic shock), the origin of the cIAIs, the delay in source control, the setting of acquisition and any risk factors such as age and immunosuppression.
METHODS: The WISS study (WSES cIAIs Score Study) is a multicenter observational study underwent in 132 medical institutions worldwide during a four-month study period (October 2014-February 2015). Four thousand five hundred thirty-three patients with a mean age of 51.2 years (range 18-99) were enrolled in the WISS study.
RESULTS: Univariate analysis has shown that all factors that were previously included in the WSES Sepsis Severity Score were highly statistically significant between those who died and those who survived (p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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