To Study the Efficacy of Mannheim’s Peritonitis Index in Patients of Perforation Peritonitis

Authors

  • Sohan Pal Singh
  • Mayank Misra
  • Sudheer Rathi
  • Dheeraj Raj

DOI:

https://doi.org/10.37506/ijocs.v9i1.2938

Keywords:

MPI, PERFORATION, MORTALITY

Abstract

Introduction-Despite advances in critical care medicine, prognosis in peritonitis due to hollow viscous
perforation remains poor especially when associated with multi-organ dysfunction. Various grading systems
are available to analyze and stratify patients by different parameters and predict outcome. In a prospective
non-randomized observational study, the efficacy of Mannheim peritonitis Index (MPI) was analyzed in
predicting the outcome in patients who were treated for peritonitis due to hollow viscous perforation.
Method -A prospective study to assess the efficacy of Mannheim’s peritonitis index in 100 patientswho
presented with perforation peritonitis from August 2016 to July 2017 in LLRM medical college, Meerut.
Result -100 patients were included in the study , patients were divided into 3 categories according to MPI
score<21,between 21-29 &>29. In category 1 mortality was around8.33%,category 2 had 28.8% mortality
and category 3 had 53.7% mortality.Thus increase in MPI score due to cumulative effect of all 8 parameters
resulted in increased risk of mortality in perforation peritonitis .
Conclusion – In this study all the parameters of Mannheim’s peritonitis index behave in expected manner,
but there were no patient of malignancy and all patient were having generalized peritonitis and female
patients were only 20. Therefore this study should be done for longer period of time to access all parameter
of MPI score.

Author Biographies

Sohan Pal Singh

Professor, Department of Surgery, LLRM Medical College, Meerut

Mayank Misra

Senior Resident, Department of Surgery, LLRM Medical College, Meerut

Sudheer Rathi

Professor and Head, Department of Surgery, LLRM Medical College, Meerut

Dheeraj Raj

Professor, Department of Surgery, LLRM Medical College, Meerut

Published

2021-04-07