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Research Paper | Surgery | India | Volume 12 Issue 2, February 2023 | Popularity: 5.3 / 10
Mannheim Peritonitis Index in Predicting the Morbidity and Mortality in Patients with Peritonitis due to Hollow Viscus Perforation - A Prospective Study
Kannan G, Niruban Chakaravarthi G
Abstract: Introduction: Peritonitis due to hollow viscus perforation is one of the common causes for emergency admission. Scoring systems that provide objective descriptions of the patient?s conditions at specific points in the disease process aid our understanding of these problems. Hence this study was undertaken to study the effectiveness of Mannheim peritonitis index (MPI) in predicting the outcome in peritonitis patients. Methods: This study was a prospective observational study conducted at Government Tiruvannamalai Medical College and Hospital, during the period January 2021 to July 2022. The data regarding patient particulars, diagnosis, investigations, and surgical procedures were collected in a specially designed case recording form and transferred to a master chart subjected to statistical methods like mean, standard deviation, proportion, percentage calculation and chi square test for proportion was used. Results: In this study of 100 cases of secondary and tertiary peritonitis. The mean age of patients was 44.89 (SD 16.2) years ranging from 16 to 79 yrs. Majority (50%) of patients had MPI less than 21.52.5% of patients with MPI score less than 21 developed complications.45% of patients had complications with MPI score 21 to 27. There was no mortality in patients with MPI less than 21, whereas those patients with MPI score more than 29 had the highest mortality rate of 76.9%. Patient with MPI score from 21 to 29 had mortality rate of 23.1%. The outcome of the study is statistically significant by chi - square test with p Value <0.0001. Conclusion: MPI scoring system is simple score to apply to determine the risk during surgery and the surgeon can know about the possible outcome. MPI is a useful and simple index which can be effectively used in prediction of outcome of patients presenting with peritonitis due to hollow viscus perforation.
Keywords: Peritonitis, Mannheim?s Peritonitis Index, Hollow Viscus Perforation, Emergency, Outcome
Edition: Volume 12 Issue 2, February 2023
Pages: 618 - 628
DOI: https://www.doi.org/10.21275/SR23210141455
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