scholarly journals A prospective study evaluating utility of Mannheim peritonitis index in predicting prognosis of perforation peritonitis

2015 ◽  
Vol 6 (3) ◽  
pp. 49 ◽  
Author(s):  
Vikrant Ranjan ◽  
Rajesh Sharma ◽  
Suraj Jain ◽  
Tulika Joshi ◽  
Anurag Tyagi ◽  
...  
Keyword(s):  
Prospective Study ◽  
Mannheim Peritonitis Index ◽  
Perforation Peritonitis ◽  
A Prospective Study

scholarly journals A prospective study to evaluate the utility of Mannheim peritonitis index in predicting prognosis of perforation peritonitis at our tertiary care centre

2017 ◽  
Vol 4 (10) ◽  
pp. 3245
Author(s):  
Saravanan K. V. ◽  
Gowri Sankar Alagarsamy ◽  
Udhaya Sankar
Keyword(s):  
Prospective Study ◽  
Tertiary Care ◽  
Tertiary Care Centre ◽  
Mannheim Peritonitis Index ◽  
Generalized Peritonitis ◽  
Post Evaluation ◽  
Prediction Of Mortality ◽  
Perforation Peritonitis ◽  
The Individual ◽  
A Prospective Study

Background: This study was aimed to evaluate the validity of Mannheim Peritonitis Index (MPI) in predicting the outcome in patients with perforation peritonitis.Methods: A prospective study was designed for a study period of 2 years, 75 patients who underwent operation for perforation peritonitis were included in the study. Post evaluation done with predesigned proforma, MPI score was calculated and analyzed for each patient who underwent surgery, death being the main outcome measure. The MPI scores were divided into three categories. MPI scores <15 (category 1), 16-25 (category 2), and >25 (category 3).Results: Present study consisted of 60 males and 15 females (male:female ratio of 4:1) with the mean patients age 37.96±17.49 years. 47, 26, and 27 cases belonged to MPI score categories 1, 2, and 3. The dominating source of perforation was small intestinal. The individual parameters of MPI score were assessed against the mortality, age >50 years (P = 0.015), organ failure (P = 0.0001), noncolonic origin of sepsis (P = 0.002), and generalized peritonitis (P = 0.0001) were the factors significantly associated with mortality. The sensitivity of MPI was 92% and specificity was 78% in receiver operating characteristic curves.Conclusions: MPI is an effective tool for prediction of mortality in cases of perforation peritonitis.

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

2020 ◽  
Vol 7 (7) ◽  
pp. 2255
Author(s):  
Sitaram Yadav ◽  
Ramesh Suthar ◽  
Rajaram Meena ◽  
R. S. Meena
Keyword(s):  
Prospective Study ◽  
Tertiary Care ◽  
Scoring Systems ◽  
Age Group ◽  
Mannheim Peritonitis Index ◽  
Risk Of Death ◽  
Etiologic Agents ◽  
Perforation Peritonitis ◽  
A Prospective Study ◽  
Chemical Irritants

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.

scholarly journals A prospective study of outcome and monitoring of patients with perforation peritonits by using APACHE 2 score

2021 ◽  
Vol 8 (5) ◽  
pp. 1517
Author(s):  
R. S. Gupta ◽  
Santosh Roshan ◽  
Vishnukant Pandey ◽  
Surendra Shrivastava
Keyword(s):  
Prospective Study ◽  
Monitoring System ◽  
Predictive Power ◽  
Advanced Technology ◽  
Surgical Emergency ◽  
Duration Of Hospitalization ◽  
Perforation Peritonitis ◽  
A Prospective Study

Background: Perforation peritonitis is very common surgical emergency and despite newer and advanced technology as a monitoring system APACHE 2 score have a good predictive power to predict outcome and monitoring in such patientMethods: This is a prospective study by which APACHE 2 score was applied over the patient before the surgery and after the surgery at first post operative day and score was calculated in selected preformed and result was concludedResults: The outcome of the Patients largely depends on age, perforation size, duration of presentation, and duration of hospitalization all these are well correlated with APCHE 2 score to predict outcome and monitoring.Conclusions: The accuracy of APACHE 2 score to predict the outcome in perforation peritonitis increases when the result of score was combined which was applied two time prior to surgery and after the surgery.

scholarly journals Prospective study of 50 cases of perforative peritonitis a single centre experience

2017 ◽  
Vol 4 (8) ◽  
pp. 2782
Author(s):  
Prakash B. Patel ◽  
Suryadeep Baria
Keyword(s):  
Prospective Study ◽  
Exploratory Laparotomy ◽  
Medical College ◽  
Primary Peritonitis ◽  
Surgical Emergencies ◽  
Perforative Peritonitis ◽  
Common Etiology ◽  
Perforation Peritonitis ◽  
A Prospective Study ◽  
Surgical Treatments

Background: Perforative peritonitis are most common surgical emergencies seen worldwide. Despite improvement in diagnosis, antibiotics, surgical treatments and intensive care support, it is still an important cause of mortality in surgical patients. This study was done to know the spectrum of etiology, clinical presentation, management and treatment outcomes of patients admitted with perforation peritonitis in our hospital.Methods: A prospective study was done over a period of 3 years from January 2007 to December 2010 in NHL Medical College and V.S. hospital, Ahmedabad which included 50 patients diagnosed with perforation peritonitis. All patients admitted with perforation of gastrointestinal tract were included in this study. All cases of primary peritonitis and anastomotic leaks were excluded from this study.Results: Total 50 cases were included with 80% being males. Highest incidence of perforation peritonitis was noted in 21-30 years of age group in the present study. Most common etiology of perforative peritonitis was noted in the present study was peptic perforation 40% (20) cases, abdominal pain, tenderness were present in all of the perforative peritonitis patients.Conclusions: Perforative peritonitis is more common in male and most common pathology was peptic perforation due to acid peptic disease, in most of the cases after adequate resuscitation and stabilization of the patient Exploratory laparotomy is mainstay treatment modality

scholarly journals A prospective study to assess clinical profile and golden period for operative intervention in patients with perforation peritonitis

2018 ◽  
Vol 5 (4) ◽  
pp. 1492
Author(s):  
Sandeep Malik ◽  
Amandeep Singh ◽  
Darshan Singh Sidhu ◽  
Nitin Nagpal ◽  
Deepika Sharma
Keyword(s):  
Prospective Study ◽  
Hospital Stay ◽  
High Morbidity ◽  
Diffuse Peritonitis ◽  
Total Hospital ◽  
Icu Stay ◽  
Surgical Emergencies ◽  
Total Hospital Stay ◽  
Perforation Peritonitis ◽  
A Prospective Study

Background: Perforation peritonitis constitutes one of the most common surgical emergencies encountered by surgeons. Even with modern treatment, diffuse peritonitis carries a high morbidity and mortality rate.Methods: The prospective study was conducted at department of surgery on 50 patients of perforation peritonitis admitted in emergency department of hospital. Detailed history, clinical examination and investigations were carried out. Patients were operated upon and findings were noted. Comparisons were done for postoperative ICU stay, morbidity/ mortality, oral feed and total hospital stay between the patients who reported within 24 hours and after 24 hours of onset of symptoms to determine golden period for operative intervention.Results: Out of total 50 patients, 21(42%) patients presented within 24 hrs of onset of first symptom of perforation while 29(58%) patients presented after 24 hours. Postoperative ICU stay, morbidity/ mortality, delay in oral feed and total hospital stay was statistically more in patients presenting after 24 hours.Conclusions: It can be concluded that the golden period of 24 hrs between the onset of symptom and start of treatment is the most important factor to determine the outcome.

scholarly journals Spectrum of perforation peritonitis in Kashmir: a prospective study at our tertiary care centre

2015 ◽  
pp. 381-384
Author(s):  
Mir Ahmad ◽  
Mumtazudin Wani ◽  
Hanief Dar ◽  
Sajad Thakur ◽  
Hilal Wani ◽  
...  
Keyword(s):  
Prospective Study ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Perforation Peritonitis ◽  
A Prospective Study
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