Prognostic factors contributing to morbidity in acute peritonitis
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 1
Abstract
Acute peritonitis is one of the most common surgical emergencies. The causes for acute peritonitis are varied and present a diagnostic challenge. It requires a thorough clinical evaluation supplemented by investigations to arrive at an accurate diagnosis. The management of acute peritonitis is a surgical challenge with high morbidity and mortality. Therefore it is necessary to study and evaluate factors which prognosticate increased morbidity and mortality and assess the validity of various scoring system such as the Mannheim peritonitis index score. The study being prospective study, all patients admitted to surgical wards as diagnosed as peritonitis were considered according to inclusion and exclusion criteria. In our study 86 patients (78.2%) had MPI less than 26 and none had mortality and the remaining were above MPI >26, out of those 24 patients, 5 died. Majority of patients presented with peritonitis in its initial stages with 77 patients (70%) in the 1-2 day group out of which 43 patients presented with in 24 hour from onset of pain, out of these 43 patients only 10 patients (9%) developed complications and 12 patients who presented on day 2 of illness(12.9%)developed complications
Authors and Affiliations
Anantharaman D
Keywords
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- EP ID EP471557
- DOI 10.26611/106915
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