Comparative Evaluation of performance of Mannheim Peritonitis Index (MPI) and Multiple Organ Failure Score in Patients with Peritonitis

Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 8

Abstract

Introduction: Secondary bacterial peritonitis is a life threatening condition if not well managed. It is associated with high morbidity and mortality. Early stratification by scoring system will allow in predicting the possible outcome and providing more critical care services to the serious patients. Aim: This study was done to evaluate the performance of Mannheim Peritonitis Index (MPI) score and MOF score in patients with secondary peritonitis. Material and Methods: This is a prospective,observational evaluation of MPI and MOF score which was conducted on 105 consecutive patients of peritonitis who were admitted in our institution and underwent appropriate surgical treatment. Patient’s characteristics, clinical, laboratory findings, operative findings and postoperative outcome were noted. Results: Overall, mortality was 11.4%.The highest prediction of mortality rate of 85.7% was at MPI score of>27.The prediction of mortality of MOF score was 80% (12/15). Non-survivors had mean score of MPI and MOF was 28.50± 3.6and 3.46 ±2.19 respectively whereas survivors had mean MPI and MOF of 17.48±5.8 and 0.82 ±0.115 respectively. The Score sensitivity of mortality were 100% and 83.33% for MPI score >20 and MOF score respectively. The lower sensitivity of MOF score was due to death of some cases above 50 years of age without organ failure. These deaths were due to sudden cardio-respiratory arrest. Conclusion: Increasing MPI and MOF score were associated with poor outcome. Both MPI and MOF were good predictors of mortality in cases of peritonitis. However; MPI scoring system is better (sensitivity 100% Vs. 83.3% ) predictor of mortality than MOF score.

Authors and Affiliations

Salamat Khan, V P Singh

Keywords

Related Articles

Radiographic Examination of the Greater Sciatic Notch in Determining the Sex among North Indian Population

Introduction: In forensic and archaeological studies, there is the need for identification of human skeletal remains.The greater sciatic notch is very relevant in identification of sex in human skeletal remains. The feat...

Memantine add-on to Atypical Antipsychotics for Treatment of Negative Symptoms in Schizophrenia

Introduction: Studies on the role of adjunctive memantine to atypical antipsychotics in treatment of negative symptoms of schizophrenia have shown conflicting results. In view of the above, the present study was carried...

Comparative Study between the Effect of Topical Insulin and Normal Saline Dressing in Healing of Diabetic Foot Ulcers

Introduction: Numerous topical medication and gels are promoted for ulcer care and healing. Relatively few have proved to be more efficacious than saline wet to dry dressings. The present study was aimed to compare the e...

Incidence of Vitamin B12 and Folate Deficiency amongst Adolscents

Introduction: Micronutrient deficiency is one of the commonly occurring problems worldwide. Deficiency of Vitamin B12 results in megaloblastic anaemia and this condition is difficult to distinguish it from folate deficie...

A Role of N-Cadherin in Tumor Progression and Prognosis of Epitheliual Malignancy

Epithelial cells typically express E-cadherin, mesenchymal cells express various cadherins, including N-cadherin, R-cadherin and cadherin-11. N-cadherin is also known as neural-cadherin, non-epthelial cadherin or cadheri...

Download PDF file
  • EP ID EP426754
  • DOI -
  • Views 100
  • Downloads 0

How To Cite

Salamat Khan, V P Singh (2016). Comparative Evaluation of performance of Mannheim Peritonitis Index (MPI) and Multiple Organ Failure Score in Patients with Peritonitis. International Journal of Contemporary Medical Research, 3(8), 2302-2306. https://europub.co.uk/articles/-A-426754