Abstract
Background: This study attempts to evaluate the prognostic value of MPI scoring system in patients with peritonitis due to hollow viscous perforation, to assess it as a clinical tool in stratifying these patients according to individual surgical risk. Methods: 52 patients with hollow viscous perforation admitted in Navodaya hospital from June 2013 to June 2015 were included in the study. Necessary data was collected; MPI score was calculated for each patient and analysis done. Results: The number of post operative complications, duration of ICU and hospital stay proportionately increased with the MPI score. Out of the 8 variables used in this scoring system, duration of pain, intra peritoneal fluid and organ failure on admission carried more significance in predicting the morbidity in the post op period than the other variables. Conclusions: Mannheim peritonitis index is a simple and effective method in predicting the morbidity and mortality of patients with peritonitis due to hollow viscous perforation.
Highlights
Acute generalized peritonitis from gastrointestinal hollow viscous perforation is a potentially life threatening condition
Total of 52 patients with peritonitis due to hollow viscous perforation who would present to Navodaya Medical College Hospital & Research Centre, Raichur
Cases admitted with peritonitis due to hollow viscous Perforation to Dept. of surgery, NMCH & RC, Raichur during the period about 52 cases
Summary
Acute generalized peritonitis from gastrointestinal hollow viscous perforation is a potentially life threatening condition. Many scoring systems have been designed and used successfully to grade the severity of acute peritonitis like, Acute physiology and chronic health evaluation (APACHE) II score, simplified acute physiology score (SAPS), Sepsis severity score (SSS), Ranson score, Imrite score, Mannheim peritonitis index (MPI).[7,8] MPI was developed by Wacha and Linder in 1939. It was developed based on the retrospective analysis of data from 1253 patients with peritonitis, in which 20 possible risk factors were considered. Tukka VN et al Int Surg J. 2016 May;3(2):[714-717] handle with clinical parameters, allowing the prediction of the individual prognosis of patients with peritonitis.[9]
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