PROGNOSTIC FACTORS IN PERFORATED COLONIC DIVERTICULITIS

Morbidity and mortality after emergency procedures in 105 patients wit h perforated colonic diverticulitis were evaluated in a retrospective study. In different stages of diverticulitis (Hinchey classification: I, 8.6%; II, 14.3%; III, 57.1%; IV, 20.0%) mortality was 12.4%. Preope rative sepsis syndrome with leucopenia and disturbed liver function, c ardiac risk factors and obesity were independent prognostic factors in multiple logistic regression. Accompanied by immunosuppression the mo rtality rate remarkably increased to 33%. The stage of peritonitis sho wed no influence on the prognosis. In multivariate analysis, surgical procedure (primary resection 12.4%, Hartmann's procedure 61.9%, non-re section procedures 25.7%) showed influence only on increased general c omplications.