SIGNIFICANCE OF MANNHEIM PERITONITIS INDEX AS AN EVALUATIVE TOOL IN PREDICTING MORTALITY IN PATIENTS OF PERITONITIS
Journal Title: IJSR-International Journal Of Scientific Research - Year 2016, Vol 5, Issue 12
Abstract
A scoring system which can compare patient populations and severity of illness, objectively predict mortality, morbidity and can help to evaluate the treatment strategy is the direct need for evaluative research of intensive care. Keeping in mind that perforation peritonitis is the commonest surgical emergency in the lower rungs of the society which we encounter in our hospital, this study was undertaken to evaluate Mannheim Peritonitis Index (MPI) scoring system in defining the prognosis of the patients and to be able to deliver better patient care and furnish efficient management. It was a crosssectional study of 100 patients of perforation peritonitis who were admitted in surgery department over a period of two years. MPI score was calculated for each patient of peritonitis as per the score sheet. ROC analysis was done to identify the best cut off for MPI. e cut off from ROC curve came out to be 26. Sensitivity and specificity of MPI in predicting mortality was calculated to be 100% and 65.54 % respectively. e rate of mortality was 10% .is was a pioneering study in India where MPI scoring system has been applied specifically for patients of peritonitis in a our hospital setup. As there was an increase in mortality with the increment of MPI scores so we deduce that MPI score proved to be a useful tool to predict the mortality in patients of peritonitis.
Authors and Affiliations
Dr . Gopal, Dr. M. K Maheshwari, Dr. Loveneet Dogra, Dr. Zubair, Dr. Ritin Malik
Keywords
Related Articles
- EP ID EP349353
- DOI -
- Views 41
- Downloads 0
CLINICAL STUDY ON ECTOPIC PREGNANCY IN GOVERNMENT MEDICAL COLLEGE AND ASSOCIATED GROUP OF HOSPITALS KOTA
Ectopic pregnancy has always challanged ingenuity of the obstetrician and gynecologist by its bizzare clinical picture. Diagnosis is frequently missed which can be life threatning and if not attented in time it can be fa...
DIAGNOSIS AND TREATMENT OF ESOPHAGIC TRAUMA IN A REFERENCE HOSPITAL.
Background. Penetrating lesions of the esophagus are more common than blunt injuries. The bullet wound (75%) is the main cause of these. In traumatic injuries, primary surgical repair is the standard of treatment. Method...
DESMOPLATIC SMALL ROUND CELL TUMOR OF PARATESTICULAR ORIGIN
Desmoplastic Small Round Cell Tumor (DSRCT) of the paratesticular region is an extremely rare mesenchymal tumor occurring in adolescence with a tendency for extensive metastases. We report a rare case of DSRCT of parates...
AN INSTALLATION OF APHERESIS KIT PRIMING PROCEDURE HAD MET WITH AN ACCIDENT AND MANAGED PROPERLY.
I would like to illustrate the observational case report of therapeutic plasma phresis kit installation and priming of kit had met a fall out as consequence of leaked of normal saline. We would like to get notified, rega...
VARIATIONS IN BRANCHING PATTERN OF BRACHIAL ARTERY – A STUDY IN CADAVERS
Brachial artery in arm is commonly used for percutaneous arterial catheterization, angiography, vascular flaps for reconstructive surgeries, and can be injured in fractures of arm or elbow region. Knowledge of variations...