Efficacy of Mannheim Peritonitis Index (MPI) Score In Patients With Peritonitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Peritonitis presents most commonly due to localized or generalized infection caused from various factors. Despite advances in diagnosis, management and critical care of patients for patients with peritonitis due to hollow viscus perforation, yet there is lacunae in prognosis of the patient with peritonitis. Early assessment by scoring systems will influence the management and prognosis. A Prospective study was conducted on 62 patients admitted and operated for peritonitis in Maharajah’s Medical College Hospital. A structured scoring system i.e. Mannheim peritonitis index (MPI) was administered along with other clinical and biochemical parameters recorded in pre-structured proforma. Data was analyzed for predicting mortality and morbidity using EPI info and SPSS software.The overall mortality and morbidity was 14% and 38% respectively. MPI scores of ≤ 20, 21-29, and ≥ 30 had a mortality of 0 %, 17.6 %, and 80 % respectively. MPI score 21 and above was associated with mortality among them highest mortality rate was observed at score of > 30 and was found statistically significant (p value of o.ooo).. MPI is disease specific, easy scoring system for predicting the mortality in patients with secondary peritonitis. Increasing scores are associated with poorer prognosis, needs intensive management and hence it should be used routinely in clinical practice.
Authors and Affiliations
Dr. N. VenkataBhaskarachari (PG), Dr. I. Kavya (PG), Dr. RaoVenkataSrinivas Rao MS, Dr. KPV. PrasadaRao,MS (HOD)
Keywords
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- EP ID EP406722
- DOI 10.9790/0853-1710122326.
- Views 73
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