Role of Mannheim Peritonitis Index in Perforative Peritonitis in Rural Population

Abstract

Perforative Peritonitis still remains a disease with higher mortality and morbidity rates in rural population of India. The aim of this study was to evaluate the efficacy of Mannheim Prognostic Index in predicting the clinical outcomes in patients with Perforative Peritonitis. Material and Methods: Prospective cohort study carried out over a period of 2 years on patients presenting with Perforative peritonitis. MPI score was calculated on admission for all patients and they were followed up till discharge or death and results were analysed. Results: A total of 100 patients were analysed with a mortality rate of 17%. MPI score ≥30 was significantly associated with Mortality, while a score of 21-29 was associated with 15.20% mortality. Age ≥ 50 yrs, female sex, organ failure, duration of symptoms ≥ 24 hrs pre operatively, origin of sepsis from colorectal perforations, fecal and purulent nature of peritonitis were found to be independent risk factors for statistically significant risk of post operative complications. Conclusion: MPI is a valid and reliable predictor for pos operative mortality and morbidity in patients with perforative peritonitis.