Effectiveness of Mannheim peritonitis index scoring system in predicting the morbidity and mortality in peritonitis due to hollow viscous perforation

Abstract

Background: This study attempts to evaluate the prognostic value of MPI scoring system in patients with peritonitis due to hollow viscous perforation, to assess it as a clinical tool in stratifying these patients according to individual surgical risk. Methods: 52 patients with hollow viscous perforation admitted in Navodaya hospital from June 2013 to June 2015 were included in the study. Necessary data was collected; MPI score was calculated for each patient and analysis done. Results: The number of post operative complications, duration of ICU and hospital stay proportionately increased with the MPI score. Out of the 8 variables used in this scoring system, duration of pain, intra peritoneal fluid and organ failure on admission carried more significance in predicting the morbidity in the post op period than the other variables. Conclusions: Mannheim peritonitis index is a simple and effective method in predicting the morbidity and mortality of patients with peritonitis due to hollow viscous perforation.