ASSESSMENT OF ROLE OF MANNHEIM PERITONITIS INDEX (MPI) SYSTEM IN EVALUATION OF MORBIDITY AND MORTALITY AMONG PATIENTS WITH HOLLOW VISCUS PERFORATION: AN INSTITUTIONAL BASED STUDY
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 1785-1791
Abstract
Introduction: A scoring system which can compare patient populations and severity of illness, objectively predict mortality, morbidity and can help to evaluate the treatment strategy is the dire need for evaluative research of intensive care. Thus, present study was undertaken to access the role of Mannheim Peritonitis Index (MPI) system in evaluation of morbidity and mortality among patients with hollow viscus perforation.Materials and Methods: The present prospective comparative study was carried among 50 patients in whom diagnosis was of peritonitis. Using history, clinical examination and laboratory values risk factors found in MPI were classified according to values indicated and individual variable scores were added to establish MPI score. The data was analyzed, each variable in the MPI score along with other patient variables was analyzed using chi square analysis with various outcomes that were noted in the study. P value <0.05 was taken as significant in this study.
Results: In this study, 50 patients with diagnosis of secondary peritonitis were included. Patients with age 15 years to 70 years were part of study. Majority of patients (42%) belong to age group 20-35 years. Patient with less MPI score required less number of ICU stay. Around 80% of high-risk group (MPI > 29) required more than 5 days of ICU stay. Mortality rate was 40% in high-risk group (MPI score >29). There was no mortality in low-risk group (MPI score <21). Mortality rate was 5.26% in intermediate risk group. Chi-Square test value is 15.601, p-value is 0.000, < 0.05 indicates significant Mortality vs MPI Scores.
Conclusion: Mannheim peritonitis index scoring system is accurate for predicting the morbidity and mortality in patients with peritonitis due to hollow viscus perforation. It helps in identification of high-risk patients and it helps to identify the patients using for intensive post-operative or ICU care.
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