ESWEP score global aplication: a retrospective study

Abstract

Introduction. In 2021, the ESWEP Score was developed, a tool that considers variables to decide between primary closure or ostomy in enteric perforation, the cut-off point was 11, no traumatic perforation was considered. Validating ESWEP Score, in all segments of the digestive tract, and patients with traumatic perforation, would allow providing optimal treatment.

Materials and methods. Retrospective study, through anesthesiology service records, included 49 with traumatic and non-traumatic gastrointestinal perforation in whom primary closure was performed between years 2020-2022. Statistical analysis was performed in SPSS 28.0 .1.

Results. 49 patients were included with a mean score of 9.06 SD 3.243, 41 cases (83.7%) with a score less than or equal to 11, only 8 cases with score >11, 65.3% were perforations of traumatic origin, only 10.2% of cases presented dehiscence with a mean score of 14.4 SD 2.8. Fisher's exact test rejected independence between ESWEP Score and dehiscence, with p=0.001, no association between other variables was confirmed. The association between the cut-off point established by Ammar & Cols. with primary closure dehiscence.

Conclusion. ESWEP Score is a useful tool for surgical decision making in patients with traumatic and non-traumatic gastrointestinal perforation.