Capillary Leak Index Versus Conventional Biomarkers in Predicting Sepsis-Related Outcomes
This study aims to evaluate the prognostic significance of CLI in predicting 28-day mortality and other outcomes in critically ill patients who develop post-operative abdominal sepsis.
• Age ≥ 18 years.
• Postoperative secondary peritonitis requiring ICU admission, with clinical evidence of:
• Diffuse or localized abdominal pain/tenderness. Peritoneal signs (e.g., guarding, rigidity, rebound tenderness). Imaging or intraoperative confirmation of purulent/exudative intra-abdominal fluid.
• Systemic inflammation (e.g., fever, leukocytosis, or vasopressor requirement). Sepsis diagnosis per Sepsis-3 criteria: Suspected/confirmed infection with acute increase in SOFA score ≥2 points (6).
• Anticipated ICU stay ≥48 hours postoperatively.