Key result
Mannheim Peritonitis Index predicts perforation peritonitis mortality with ~0% risk for scores under 29.
Why the study?
Perforation peritonitis remains a common surgical emergency with poor prognosis, and early identification of disease severity may aid in risk assessment and selecting management protocols to reduce morbidity and mortality.
Does the Mannheim Peritonitis Index (MPI) predict mortality and morbidity better than the Revised Multiple Organ Failure Score in patients with perforation peritonitis?
Observational (n=60)
No
Does the Mannheim Peritonitis Index (MPI) predict mortality and morbidity better than the Revised Multiple Organ Failure Score in patients with perforation peritonitis?
p-value: p=<0.01
The Mannheim Peritonitis Index is an easy and effective scoring system for predicting morbidity and mortality in patients with perforation peritonitis.
May support MPI for mortality risk stratification in peritonitis; leaves open comparative validation versus other scores.
Background: Perforation peritonitis due to hollow viscous perforation continues to be one of the most common surgical emergencies and has got poor prognosis in spite of advances in diagnosis and management.Identifying the patients with severity of peritonitis in its early stage may help in risk assessment of the patient and this will aid in selection of management protocol to reduce the morbidity and mortality.1-2 Material & Method: This study included 60 cases of Peritonitis that were admitted and treated in the Department of General Surgery, S.N.Medical College, Agra.The study period was from August 2019 to August 2021.Conclusion: Mannheim Peritonitis index (MPI) is simple and objective scoring system to predict the final outcome of patients with peritonitis and intra-abdominal sepsis.It appears more practical than revised multiple organ failure scoring system.MPI provides an easy and reliable means of risk evaluation and classification for patients with peritoneal inflammation for early intensive management for better outcome of patient.MPI is an easy and effective scoring system with a better option for predicting morbidity and mortality and can be used as a guiding tool to decide on the possible outcome and the appropriate management.
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Juhi Singhal Gopal Krishna (2023) conducted an observational in Perforation peritonitis (n=60). Mannheim Peritonitis Index (MPI) vs. Revised Multiple Organ Failure Score was evaluated on Mortality (p=<0.01). The Mannheim Peritonitis Index significantly predicted mortality in patients with perforation peritonitis, with mortality rates of 0% for scores <29, 8.33% for 30-40, and 6.67% for 41-47 (p<0.01).
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