E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Validation of Mannheim peritonitis index in a tertiary care center in Rajasthan

Sanchit Jain, Mohit Jain, Ruchika Jain.

Abstract
Background: Over the years, many prognostic systems have been developed to stratify critical patients into different categories. Some are complex in their application whereas some are not specific for the disease condition. Mannheim peritonitis index (MPI) is one such prognostic system that helps us to estimate the probability of patient survival in cases of peritonitis.

Objectives: To study the validity of MPI as a useful, simple, reproducible, and judicious tool in stratifying patients with peritonitis into high- and low-risk categories, and to assess the use of such classification in terms of patient survival and morbidity advantage in various categories.

Materials and Methods: The study was conducted from January 2011 to November 2011 on 150 patients undergoing surgery for secondary peritonitis.

Result: Of the 150 patients, 113 were male and 37 were female. On dividing the patients into two groups based on the MPI score (0–26 and >26), it was found that there was absence of deaths in patients with scores 0–26, and increased mortality and morbidity in those with score >26 confirmed the predicative value of MPI among patients with surgically diagnosed peritonitis.

Conclusion: The MPI is a useful tool for assessing the prognosis of cases of peritonitis. It not only helps in assessing the mortality and morbidity of the patient but also helps to inform the patient’s attendant with greater perspective. Also, because of simplicity in its application, it can be very useful for developing and underdeveloped countries.

Key words: Mannheim peritonitis index, secondary peritonitis, morbidity, mortality, prognosis


 
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REFERENCES
1. Maddaus MA, Ahrenholz D, Simmons RL. BiologĂ­a de la peritonitis. Surg Clin North Am 1988;2:471-85.
2. Barriere SL, Lowry SF. An overview of mortality risk prediction in sepsis. Crit Care Med 1995;23(2):376-93. [DOI via Crossref]   
3. Koperna T, Schulz F. Prognosis and treatment of peritonitis. Do we need new scoring systems? Arch Surg 1996;131:180-6. [DOI via Crossref]   
4. Knaus WA, Wagner DP, Draper EA, Zimmerman JE, Bergner M, Bastos PG, et al. The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. Chest 1991;100(6):1619-36. [DOI via Crossref]    [Pubmed]   
5. Linder MM, Wacha H, Feldmann U, Wesch G. Streifensand RA, Gundlach E. [The Mannheim Peritonitis Index. An instrument for the intraoperative prognosis of peritonitis.] [Article in German] Chirurg 1987;58(2):84-92. [Pubmed]   
6. Billing A, Frohlich D, Schildberg FW. Prediction of outcome using the Mannheim peritonitis index in 2003 patients. Peritonitis Study Group. Br J Surg 1994;81:209-13. [DOI via Crossref]    [Pubmed]   
7. Pacelli F, Battista DG, Alfieri S, Piccioni E, Sgadari A, Gui D, et al. Prognosis in intra-abdominal infections. Arch Surg 1996;131(6):641-5. [DOI via Crossref]    [Pubmed]   
8. Yilmazlar T, Toker S, Zorluoglu A. Non traumatic colorectal perforations. Int Surg 1999;84(2):155-8. [Pubmed]   
9. Bergamaschi R, Marvik R, Johnsen G, Thoresen JE, Ystgaard B, Myrvold HE. Open vs laparoscopic repair of perforated peptic ulcer. Surg Endosc 1999;13(7):679-82. [DOI via Crossref]    [Pubmed]   
10. Bosscha K, Reijnders K, Hulstaert PF, Algra A, van der Werken C. Prognostic scoring systems to predict outcome in peritonitis and intra-abdominal sepsis. Br J Surg 1997;84(11):1532-4. [DOI via Crossref]    [Pubmed]   
11. Grunau G, Heemken R, Hau T. Predictors of outcome in patients with postoperative intra-abdominal infection. Eur J Surg 1996;162(8):619-25. [Pubmed]   
12. RodrĂ­guez-GojĂłn GH, PĂ©rez-GarcĂ­a R, Poblano-Morales M, RodrĂ­guez-Brambilia V, Chavero-Garcia V. [Prognostic factors associated with mortality in patients with abdominal sepsis treated in the intensive care unit.] [Article in Spanish] Ciruj Cir 1999;67(6):205-7.
13. Rogy M, Fugger R, Schemper M, Koss G, Schulz F. [The value of 2 distinct prognosis scores in patients with peritonitis. The Mannheim peritonitis index versus the Apache II score.] [Article in German] Chirurg 1990;61(4):297-300. [Pubmed]   
14. Zeitoun G, Laurent A, Rouffet F, Hay J, Fingerhut A, Paquet J, et al. Randomized clinical trial: multicentre, randomized clinical trial of primary versus secondary sigmoid resection in generalized peritonitis complicating sigmoid diverticulitis. Br J Surg 2000;87(10):1366-74. [DOI via Crossref]    [Pubmed]   
15. Navez B, Tassetti V, Scohy JJ, Mutter D, Guiot P, Evrard S, et al. Laparoscopic management of acute peritonitis. Br J Surg 1998;85:32-6. [DOI via Crossref]    [Pubmed]   
16. Moesgaard F, Jensen LS, Christiansen PM, ThorlaciusUssing O, Nielsen KT, Rasmussen NR, et al. The effect of ranitidine on postoperative infectious complications following emergency colorectal surgery: a randomized, placebo-controlled, double-blind trial. Inflamm Res 1998;47(1):12-17. [DOI via Crossref]    [Pubmed]   
17. Seiler CA, Brugger L, Forssmann U, Baer HU, Buchler MW. Conservative surgical treatment of diffuse peritonitis. Surgery 2000;127(2):178-84. [DOI via Crossref]    [Pubmed]   

How to Cite this Article
Pubmed Style

Sanchit Jain, Mohit Jain, Ruchika Jain. Validation of Mannheim peritonitis index in a tertiary care center in Rajasthan. Int J Med Sci Public Health. 2015; 4(5): 664-668. doi:10.5455/ijmsph.2015.17122014136


Web Style

Sanchit Jain, Mohit Jain, Ruchika Jain. Validation of Mannheim peritonitis index in a tertiary care center in Rajasthan. http://www.ijmsph.com/?mno=175265 [Access: September 17, 2019]. doi:10.5455/ijmsph.2015.17122014136


AMA (American Medical Association) Style

Sanchit Jain, Mohit Jain, Ruchika Jain. Validation of Mannheim peritonitis index in a tertiary care center in Rajasthan. Int J Med Sci Public Health. 2015; 4(5): 664-668. doi:10.5455/ijmsph.2015.17122014136



Vancouver/ICMJE Style

Sanchit Jain, Mohit Jain, Ruchika Jain. Validation of Mannheim peritonitis index in a tertiary care center in Rajasthan. Int J Med Sci Public Health. (2015), [cited September 17, 2019]; 4(5): 664-668. doi:10.5455/ijmsph.2015.17122014136



Harvard Style

Sanchit Jain, Mohit Jain, Ruchika Jain (2015) Validation of Mannheim peritonitis index in a tertiary care center in Rajasthan. Int J Med Sci Public Health, 4 (5), 664-668. doi:10.5455/ijmsph.2015.17122014136



Turabian Style

Sanchit Jain, Mohit Jain, Ruchika Jain. 2015. Validation of Mannheim peritonitis index in a tertiary care center in Rajasthan. International Journal of Medical Science and Public Health, 4 (5), 664-668. doi:10.5455/ijmsph.2015.17122014136



Chicago Style

Sanchit Jain, Mohit Jain, Ruchika Jain. "Validation of Mannheim peritonitis index in a tertiary care center in Rajasthan." International Journal of Medical Science and Public Health 4 (2015), 664-668. doi:10.5455/ijmsph.2015.17122014136



MLA (The Modern Language Association) Style

Sanchit Jain, Mohit Jain, Ruchika Jain. "Validation of Mannheim peritonitis index in a tertiary care center in Rajasthan." International Journal of Medical Science and Public Health 4.5 (2015), 664-668. Print. doi:10.5455/ijmsph.2015.17122014136



APA (American Psychological Association) Style

Sanchit Jain, Mohit Jain, Ruchika Jain (2015) Validation of Mannheim peritonitis index in a tertiary care center in Rajasthan. International Journal of Medical Science and Public Health, 4 (5), 664-668. doi:10.5455/ijmsph.2015.17122014136





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