Volume : VII, Issue : V, May - 2017

MANNHEIM PERITONITIS INDEX (MPI) SCORE EFFICACY IN PATIENTS WITH SECONDARY PERITONITIS

Dr. M. K. Maheshwari, Dr. Krishan Murty, Dr. Loveneet Dogra, Dr. Saloni

Abstract :

 Background: Despite advances in diagnosis, management and critical  care of patients with  peritonitis  due to hollow  viscus perforation, prognosis remains poor. Early assessment by scoring systems will influence the management and prognosis. Aim: Evaluation of Mannheim Peritonitis Index (MPI) score for predicting the outcome in patients with peritonitis. Materials and Methods: Prospective study of 100 patients admitted and operated for peritonitis in Subharti Medical College Hospital. The structured scoring system i.e. MPI was applied along with other clinical and biochemical parameters recorded in pre–structured  proforma. Data was analysed for predicting mortality and morbidity using EPI info and SPSS software. results:  The overall mortality  and  morbidity  was  15%  and 38% respectively. MPI scores of < 19, 19–29, and ≥ 30 had a mortality of 0%, 14.7%, and 80% respectively. MPI score of 25 had highest sensitivity of 72.09% and specificity of 71.43% in predicting mortality, 80.65% sensitivity and 57.89% specificity for morbidity.  MPI score of > 25 were associated  with  6.45 times higher risk of mortality (p=0.03), 5.72 times higher risk of morbidity (p=0.005) compared to patients with MPI score ≤ 25. conclusion: 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.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. M.K. Maheshwari, Dr. Krishan Murty, Dr. Loveneet Dogra, Dr. Saloni, MANNHEIM PERITONITIS INDEX (MPI) SCORE EFFICACY IN PATIENTS WITH SECONDARY PERITONITIS, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾5 | May‾2017


Number of Downloads : 645


References :