SIGNIFICANCE OF MANNHEIM PERITONITIS INDEX AS AN EVALUATIVE TOOL IN PREDICTING MORTALITY IN PATIENTS OF  PERITONITIS

Dr .Gopal; Dr. M.K Maheshwari; Dr. Loveneet Dogra; Dr. Zubair; Dr.Ritin Malik

Volume : V, Issue : XII, December - 2016

SIGNIFICANCE OF MANNHEIM PERITONITIS INDEX AS AN EVALUATIVE TOOL IN PREDICTING MORTALITY IN PATIENTS OF PERITONITIS

Dr . Gopal, Dr. M. K Maheshwari, Dr. Loveneet Dogra, Dr. Zubair, Dr. Ritin Malik

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.