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- Title
EFFECTIVENESS OF MANNHEIM PERITONITIS INDEX IN PREDICTING MORTALITY IN PATIENTS WITH PERFORATION PERITONITIS.
- Authors
Dudeja, Devyani; Das, Nabajyoti; Bhuyan, S.
- Abstract
Background: Peritonitis is defined as inflammation of the serous membrane that lines the abdominal cavity and the organs contained therein. It is still one of the most important and common infectious problems that a surgeon must face. In this study we have taken into account all the parameters of Mannheim’s peritonitis index for predicting mortality and we have found the positive correlation among them. Aims And Objectives: To evaluate the outcome of patients using MPI and to confirm its predictive value. Materials And Method: It is a prospective study done in department of surgery for an approximate period of two years including patients attending surgery emergency department with features of peritonitis and excluding patients with primary and tertiary peritonitis. The sampling method used is nonrandomised sampling. Results And Observations: In our study we found max. patients in age of 25-35 i.e, 56(37%). Male sex (65%) has predominance. Most common site of perforation was found to be duodenal 53 (35%) and the most common clinical feature was pain in abdomen in 97% and not passing flatus and feces in 80%. Evidence of organ failure was seen in approx. 20% (30) of patients. Presentation of patients within 24 hrs was just 12% (18). Presence of malignancy was found in 12(8%) patients. 79% (118) patients had generalised peritonitis with 56% (84) having purulent exudate. Origin of sepsis was noncolonic in 128(85%) patients. maximum patients had MPI score of <21 i.e, 55% (83). 15(10%) patients expired with maximum patients had MPI of >29. Conclusions: Mannheim Peritonitis index is a useful method to determine study group outcome in patients with peritonitis. All the MPI variables of adverse outcome namely, presence of organ failure; time elapsed > 24hrs; presence of malignancy; age>50 years, generalized extension of peritonitis and type of exudate behaved as expected, except the noncolonic origin of sepsis in peritonitis and female sex. As our study differs in two adverse outcome variables, female sex & noncolonic origin of sepsis, we advocate need for further studies on Mannheim Peritonitis index to include colonic origin of sepsis and to remove female sex as variables of adverse outcome in Mannheim Peritonitis index.
- Subjects
ABDOMEN; PERITONITIS; SURGICAL emergencies; HOSPITAL emergency services; SEPSIS
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 7, p716
- ISSN
0975-3583
- Publication type
Article