Scoring of severity of patients’ condition with acute surgical diseases and injuries of the abdominal cavity

Ten of the most frequent symptoms that do not require special methods of their determination except general clinical examinations established by any health care professional on pre-hospital stage were determined on the basis of analysis of more than one thousand records of patients with acute surgical abdominal diseases and clinical symptom load. The authors performed an assessment of each symptom depending on severity of patient’s condition ranging from 1 point (satisfactory condition) till 5 points (critical condition). Information has been obtained: in case of satisfactory condition - up to 10 points, moderate - up to 20 points, heavy - up to 30 points, extremely heavy condition - up to 45 points and terminal condition - more than 45 points. Thus, conditional descriptive method of assessment of patient’s condition during the clinical examination is combined with objective-scoring. The given method combines numeric expression with methods accepted in literature - «MFS-CA », «APACHE II» and allows to perform an objective assessment of the treatment process at different stages, to practice health care standards, to perform an analysis of outcomes. The article provides tables, which substantiate proposed method.

acute surgical diseases and injuries of the abdominal cavity, scoring scale, general clinical data, descriptive method