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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Efficacy of Mannheim PeritonitisIndex (Mpi ) Score in Patientswith Secondary Peritonitis
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Efficacy of Mannheim PeritonitisIndex (Mpi ) Score in Patientswith Secondary Peritonitis

机译：曼海姆腹膜炎指数（Mpi）评分对继发性腹膜炎患者的疗效

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Background: Despite advances in diagnosis, management and critical care of patients with peritonitis due to hollow viscus perforation, prognosis remains poor. Early assessment by scoring systems will influence the management and prognosis.Aim: Evaluation of Mannheim Peritonitis Index (MPI) score for predicting the outcome in patients with peritonitis.Materials and Methods: Prospective study of 50 patients admitted and operated for peritonitis in JSS Medical College Hospital. The structured scoring system i.e. MPI was applied along with other clinical and biochemical parameters recorded in pre-structured proforma. Data was analysed for predicting mortality and morbidity using EPI info and SPSS software.Results: The overall mortality and morbidity was 14% and 38% respectively. MPI scores of = 20, 21-29, and = 30 had a mortality of 5%, 14%, and 50% respectively. MPI score of 25 had highest sensitivity of 72.09% and specificity of 71.43% in predicting mortality, 80.65% sensitivity and 57.89% specificity for morbidity. MPI score of > 25 were associated with 6.45 times higher risk of mortality (p=0.03), 5.72 times higher risk of morbidity (p=0.005) compared to patients with MPI score = 25.Conclusion: MPI is disease specific, easy scoring system for predicting the mortality in patients with secondary peritonitis. Increasing scores are associated with poorer prognosis, needs intensive management and hence it should be used routinely in clinical practice
机译：背景：尽管由于空心粘膜穿孔而对腹膜炎患者的诊断，管理和重症监护取得了进展，但预后仍然很差。目的：通过Mannheim腹膜炎指数（MPI）评分评估腹膜炎患者的预后。材料与方法：前瞻性研究JSS医学院对50名因腹膜炎入院并手术的患者进行前瞻性研究医院。结构评分系统即MPI与预结构形式中记录的其他临床和生化参数一起应用。使用EPI info和SPSS软件对数据进行预测死亡率和发病率分析。结果：总死亡率和发病率分别为14％和38％。 MPI分数= 20、21-29和= 30的死亡率分别为5％，14％和50％。 MPI得分25在预测死亡率方面的最高敏感性为72.09％，特异性为71.43％，对发病率的敏感性为80.65％，特异性为57.89％。 MPI得分> 25与MPI得分= 25的患者相比，死亡率高（6.43倍）（p = 0.03），发病率（p = 0.005）高5.72倍。结论：MPI具有疾病特异性，易于评分用于预测继发性腹膜炎患者的死亡率。分数增加与预后较差有关，需要加强管理，因此应在临床实践中常规使用

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