Getting the invite list right: a discussion of sepsis severity scoring systems in severe complicated intra-abdominal sepsis and randomized trial inclusion criteria

Table 1 World Society of Emergency Surgery Sepsis Severity Score for complicated intra-abdominal infections

Clinical conditions at admission
Sepsis with organ dysfunction at admission	3 points
Septic shock (acute circulatory failure characterized by persistent arterial hypotension) requiring vasopressor agents	5 points
Setting of acquisition
Healthcare-associated infection	2 points
Origin of intra-abdominal infection
Colonic non-diverticular perforation peritonitis	2 points
Small bowel perforation peritonitis	3 points
Diverticular diffuse peritonitis	2 points
Post-operative diffuse peritonitis	2 points
Delay in source control
Delayed initial intervention (pre-operative duration of peritonitis (localized or diffuse) > 24 h	3 points
Risk factor
Age > 70	2 points
Immunosuppression (chronic glucocorticoids, immunosuppressive agents, chemotherapy, lymphatic disease, virus)	3 points

ISSN: 1749-7922