MANNHEIM PERITONITIS INDEX IN OUTCOME PREDICTION OF PERITONITIS AFTER HOLLOW VISCUS PERFORATION
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Keywords
Mannheim Peritonitis Index,, Peritonitis, Hollow viscus perforation
Abstract
Objective: To assess Mannheim Peritonitis Index in outcome prediction of peritonitis after hollow viscus perforation.
Methodology: Ninety five patients of hollow viscus perforation were selected for this prospective study conducted at department of surgery department of Lady Reading Hospital, Peshawar from July 2023 to January 2024. Mannheim Peritonitis Index was assessed for post procedure morbidity, complications and morality.
Results: Mean age 45.21±15.68 years while symptoms duration was 2.91±1.34 days. The assessment of MPI grades indicated that 46 patients (48.4%) exhibited an MPI score below 22, 31 patients (32.6%) fell within the MPI score range of 22 to 29, and 18 patients (18.9%) recorded an MPI score exceeding 29. MPI grading and complications showed a notable association between higher MPI grades (22 to 29 and > 29) and an increased incidence of complications (P = 0.0001). A further analysis of mortality outcomes demonstrated an absence of mortality in patients with an MPI score below 22. In contrast, mortality rates were 12.9% in patients with MPI scores ranging from 22 to 29, and notably higher at 66.7% in patients with an MPI grading surpassing 29. This observed association between mortality and MPI grading proved to be significant (P = 0.0001).
Conclusion: Our study yields a conclusive finding that the MPI scoring system proves to be both effective and efficient in predicting mortality and post-procedure complications among patients experiencing peritonitis subsequent to hollow viscus perforation.
Keywords: Mannheim Peritonitis Index, Peritonitis, Hollow viscus perforation
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Dr Zeeshan Alam
Postgraduate Resident General Surgery, Lady Reading Hospital MTI Peshawar, KPK, Pakistan
Dr Abrar Ul Haq
Orthopaedic and spine surgery unit A, Hayatabad Medical complex MTI Peshawar, KPK, Pakistan
Dr Hazrat Abu Bakar Saddiqe
Postgraduate Resident, General Surgery Lady Reading Hospital MTI Peshawar, KPK, Pakistan
Dr Muhammad Abu Bakkar
Postgraduate Resident, General Surgery Lady Reading Hospital MTI Peshawar, KPK, Pakistan
Dr Bakir khan
Postgraduate Resident, General surgery Lady reading hospital MTI Peshawar, KPK, Pakistan
Dr Taimour Saeed
Postgraduate resident, General surgery Lady reading hospital MTI Peshawar, KPK, Pakistan