Evaluation of Mannheim Peritonitis Index Score for predicting the outcomes in patients with peritonitis
Background: Peritonitis is one of the most common causes of acute abdomen presenting in an emergency. In India, visceral perforation is the most common cause of peritonitis. There are many scoring systems available to predict mortality in patients with peritonitis. Out of these, Mannheim Peritoniti...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Krishna Vishwa Vidyapeeth (Deemed to be University), Karad
2024-07-01
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| Series: | Journal of Krishna Institute of Medical Sciences University |
| Subjects: | |
| Online Access: | https://www.jkimsu.com/jkimsu-vol13no3/JKIMSU,%20Vol.%2013,%20No.%203,%20July-September%202024%20Page%20118-124.pdf |
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| Summary: | Background: Peritonitis is one of the most common causes of acute abdomen presenting in an emergency. In India, visceral perforation is the most common cause of peritonitis. There are many scoring systems available to predict
mortality in patients with peritonitis. Out of these, Mannheim Peritonitis Index (MPI) is a simple and clinical parameter-based system available for prognostication of outcomes in patients of peritonitis in all age groups. Material
and Methods: In this prospective observational study, 58 patients (age group > 12 years) with perforative peritonitis admitted to a tertiary care teaching hospital were enrolled. All necessary treatment protocols were followed and
observations were generated as per the parameters of MPI. Observations were evaluated with statistical analysis using Chi-square test and Fischer's test. Results: In our study, it was found that age more than 50 years, presence of diffuse peritonitis, and organ failure were statistically significant independent risk factors. Overall mortality increased with increasing MPI score. No mortality was recorded with MPI score lesser than 20(0/34 cases); while for MPI score
higher than 30, there was 100% mortality (5/5 cases). Conclusion: MPI score is a simple, effective, and useful system for predicting post-operative mortality and morbidity in cases of peritonitis. Patients with high MPI scores were found
to be having higher mortality. Age, presence of diffuse peritonitis, and associated organ failure were important independent risk factors as far as mortality is concerned. |
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| ISSN: | 2231-4261 |