A prospective study of effectiveness of Mannheim peritonitis index scoring system in predicting the morbidity and mortality in peritonitis due to hollow viscous perforation

Abstract

Background: Peritonitis is defined as inflammation of the peritoneal cavity, caused by a number of etiologic agents including bacteria, fungi, viruses, chemical irritants, and foreign bodies. The Mannheim peritonitis index (MPI) is one of the simple scoring systems in use that allows the surgeon to easily determine outcome risk. Aims and objective: To estimate outcome of patients with perforation peritonitis. To evaluate effect of MPI score in identification of high risk cases.Methods: A prospective study was conducted in 100 patients with peritonitis due to hollow viscous perforation at surgical unit of tertiary care unit. The duration of study was 2 years. All the data was recorded. Written informed consent was obtained and data was analyzed using appropriate analysis strategy.Results: In this study, total 100 patients enrolled, out of which 54 % patients were in the age group <50 years and 46% patients were in the age group >50 years. Mortality was higher among patients with age group more than 50 years (21%) and in female patients (37.93%). 18 patients had organ failure. 87 patients had preoperative duration was >24 hours. 93% patients had non-colonic origin of sepsis. In 52 (52%) patients total MPI score was <21 while 25 (25%) patients total score was 21-29 and it was >29 in 23 (23%) patients. Mortality was higher among patients with MPI Score more than 29 (95.65%).Conclusions: MPI is accurate to be used with patients with peritonitis and should be considered reliable and simple reference for estimating their risk of death. This study differs in one adverse outcome variables, non-colonic origin of sepsis, we advocate need for further studies on Mannheim peritonitis index to include colonic origin of sepsis.

Effectiveness of Mannheim’s Peritonitis Index in Patients With Peritonitis Secondary to Hollow Viscus Perforation in a Tertiary Care Hospital in Jharkhand, India

“…Results showed that 72% (80/111) of patients got discharged and 28% (31/111) exhibited mortality; the majority of mortality was in patients with MPI >29, and mortality increased in patients with higher MPI scores, similar to other studies [ 5 , 6 , 15 - 17 ].…”

The Role of the Mannheim Peritonitis Index for Predicting Outcomes in Patients With Perforation Peritonitis in a Rural Hospital in India

“…The majority of the patients, i.e., 84% (42/50), were discharged uneventfully, and the rest of the patients, i.e., 16% (8/50), expired. Different studies have recorded mortality rates ranging from 0% to 6% in the MPI <21 groups, 20% to 28.13% in the MPI 21-29 group, and 50% to 95.65% in the MPI > 29 groups [16][17][18][19][20]. In our study, out of the total mortality of eight patients, 62.5% (5/8) of the patients had an MPI score of >29, 23.1% (3/8) of the patients had an MPI score of 21-29, whereas there was no mortality in patients with an MPI score of 21 (Table 5).…”