Validation of Mannheim peritonitis index in a tertiary care center in Rajasthan
Journal Title: International Journal of Medical Science and Public Health - Year 2015, Vol 4, Issue 5
Abstract
Background: Over the years, many prognostic systems have been developed to stratify critical patients into different categories. Some are complex in their application whereas some are not specific for the disease condition. Mannheim peritonitis index (MPI) is one such prognostic system that helps us to estimate the probability of patient survival in cases of peritonitis. Objectives: To study the validity of MPI as a useful, simple, reproducible, and judicious tool in stratifying patients with peritonitis into high- and low-risk categories, and to assess the use of such classification in terms of patient survival and morbidity advantage in various categories. Materials and Methods: The study was conducted from January 2011 to November 2011 on 150 patients undergoing surgery for secondary peritonitis. Result: Of the 150 patients, 113 were male and 37 were female. On dividing the patients into two groups based on the MPI score (0–26 and >26), it was found that there was absence of deaths in patients with scores 0–26, and increased mortality and morbidity in those with score >26 confirmed the predicative value of MPI among patients with surgically diagnosed peritonitis. Conclusion: The MPI is a useful tool for assessing the prognosis of cases of peritonitis. It not only helps in assessing the mortality and morbidity of the patient but also helps to inform the patient’s attendant with greater perspective. Also, because of simplicity in its application, it can be very useful for developing and underdeveloped countries
Authors and Affiliations
Sanchit Jain, Mohit Jain, Ruchika Jain
Keywords
Related Articles
- EP ID EP148524
- DOI 10.5455/ijmsph.2015.17122014136
- Views 62
- Downloads 0
Premenstrual syndrome among adolescent girl students in a rural school of West Bengal, India
Background: Various studies in India have observed an incidence of premenstrual syndrome (PMS) to be 20% in general population, with 8% revealing severe symptoms. Objective: To study the sociodemographic character...
Morphometric study of atypical lumbar vertebrae and its physiological correlation
Background: The fi xation of lumbar spine is needed for various spinal problems such as fracture in lumbar spine, resection of tumors in vertebral bodies, gross spondylolisthesis, and lumbar instabilities. Majority o...
A study on variation in the insertion of Coracobrachialis muscle and its clinical importance
Background: The coracobrachialis muscle morphologically represents the adductor group of muscles in the arm but such function became insignificant in man during the process of evolution. It is more important morph...
An evaluation of prevalence and prescribing patterns of rational and irrational fixed dose combinations (FDCs): a hospital based study
Background: Fixed-dose combinations (FDCs) are combinations of two or more active drugs produced in a single dosage form and are used in the treatment of a wide range of ailments. Objective: The objective was to find out...
Depression among emergency room physicians and its associated factors in Makkah Al-Mokarramah Hospitals
Background: Several studies indicated that medical community might exhibit a relatively high level of certain mental health problems, particularly depression. Knowledge about the predictors of...