PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
2015 | 87 | 6 | 301-306
Tytuł artykułu

The usefulness of the Mannheim Peritonitis index score in assessing the condition of patients treated for peritonitis

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study was to verify the Mannheim Peritonitis Index (MPI) suitability to determine the probability of death among patients in Polish population operated due to peritonitis and to assess the possibility of using the Index to determine the risk of postoperative complications, relaparotomy and need for postoperative hospitalization in intensive care unit. Material and methods. Retrospective analysis covered 168 patients (M: F = 83: 85, mean age = 48.45 years, SD ± 22.2) treated for peritonitis. The MPI score was calculated for each patient. According to MPI results, patients were divided to the appropriate groups (<21, 21‑29, > 29) and within analyzed. The statistical analysis used Chi-square, Mann Withney U and Kolmogorov-Smirnov test. The best cut-off point for MPI was calculated on the basis of ROC analisys. Results. Mortality in the study group was 13.1%. In groups <21, 21‑29 and > 29 points according to MPI mortality was 1.75%, 28.13% and 50% respectively, the difference was statistically significant (p = 0.0124). Significant differences were observed in mortality depending on the diagnosis. Based on the ROC curve the cut-off point was identified as 32 with an accuracy of 85.9% and AUC = 81%. There has been a significant correlation between the MPI count and and the occurrence of: cardio-respiratory failure, acidosis, electrolyte imbalance, surgical wound complications, the need for treatment in the intensive care unit after surgery. Conclusions. The MPI is a simple and effective predictor of death among patients operated due to peritonitis. It can also provide assistance in assessing the risk of postoperative complications and the need for treatment in the intensive care unit.
Wydawca
Rocznik
Tom
87
Numer
6
Strony
301-306
Opis fizyczny
Daty
wydano
2015-06-01
online
2015-08-04
otrzymano
2015-09-05
Twórcy
  • 2nd Department of General Surgery Jagiellonian University in Cracow, Department of Endoscopic, Metabolic and Soft Tissue Malignancies Surgery, University Hospital in Cracow Kierownik
  • 2nd Department of General Surgery Jagiellonian University in Cracow, Department of Endoscopic, Metabolic and Soft Tissue Malignancies Surgery, University Hospital in Cracow Kierownik
  • 2nd Department of General Surgery Jagiellonian University in Cracow, Department of Endoscopic, Metabolic and Soft Tissue Malignancies Surgery, University Hospital in Cracow Kierownik , michal.natkaniec@uj.edu.pl
  • 2nd Department of General Surgery Jagiellonian University in Cracow, Department of Endoscopic, Metabolic and Soft Tissue Malignancies Surgery, University Hospital in Cracow Kierownik
autor
  • 2nd Department of General Surgery Jagiellonian University in Cracow, Department of Endoscopic, Metabolic and Soft Tissue Malignancies Surgery, University Hospital in Cracow Kierownik
  • 2nd Department of General Surgery Jagiellonian University in Cracow, Department of Endoscopic, Metabolic and Soft Tissue Malignancies Surgery, University Hospital in Cracow Kierownik
  • 2nd Department of General Surgery Jagiellonian University in Cracow, Department of Endoscopic, Metabolic and Soft Tissue Malignancies Surgery, University Hospital in Cracow Kierownik
  • 2nd Department of General Surgery Jagiellonian University in Cracow, Department of Endoscopic, Metabolic and Soft Tissue Malignancies Surgery, University Hospital in Cracow Kierownik
Bibliografia
  • 1. Wittmann DH: Intra abdominal infections: pathophysiology and treatment. New York, Marcel Dekker Publisher; 1991; pp. 8‑75.
  • 2. Wittmann DH, Walker AP, Condon RE: Peritonitis, intra-abdominal infection, and intra-abdominal abscess. In: Schwartz SI, Shires GT, Spencer FC, (ed.) Principles of surgery. 6th ed. New York McGraw-Hill; 1994; pp. 1449‑84.
  • 3. Wacha H, Linder MM, Feldmann U et al.: Mannheims peritonitis index - prediction of risk of death from peritonitis. Theoretical Surg 1987; 1: 169‑77.
  • 4. Billing A, Fröhlich D, Schildberg FW: Prediction of outcome using the Mannheim peritonitis index in 2003 patients. Peritonitis Study Group. Br J Surg 1994; 81: 209‑13. 8‑11.
  • 5. Sartelli M: A focus on intra-abdominal infections.World J of Emerg Surg 2010; 19: 5‑9.
  • 6. Malik AA, Wani KA, Dar LA et al.: Mannheim Peritonitis Index and APACHE II - Prediction of outcome in patients with peritonitis. Ulus Travma Acil Cerrahi Derg 2010; 16 (1): 27‑32.
  • 7. Dandapat MC, Mukherjee LM, Mishra SB et al.: Gastrointestinal perforations. Indian J Surg 1991; 53(5): 189‑93.
  • 8. Notash AY, Salimi J, Rahimian H et al.: Evaluation of Mannheim peritonitis index and multiple organ failure score in patients with peritonitis.Indian J Gastroenterol 2005; 24: 197‑200.
  • 9. Correia MM, Thuler LCS, Velasco E et al.: Peritonitis Index in oncologic patients. Revista Brasileira de Cancerologia 2001; 47(1): 63‑68.
  • 10.Hiyama DT, Bennion RS: Peritonitis and intraperitoneal abcess. In: Zinner MJ, Schwartz SI, Ellis H, (ed.) Maingots Abdominal Operations. Vol1. 10th ed. New York: McGraw Hill; 2001, pp. 633‑53.
  • 11. Függer R, Rogy M, Herbst F et al.: Validation study of the Mannheim Peritonitis Index. Chirurg 1988; 59: 598‑601.
  • 12. Weigelt JA: Empiric treatment options in the management of complicated intra-abdominal infections.Cleveland Clinic J Medicine 2007; 74 Suppl 4: 29‑37.
  • 13. Seiler CA, Brugger L, Forssmann U: Conservative surgical treatment of diffuse peritonitis. Surgery 2000; 127: 178‑184.
  • 14. Dellinger PE: Surgical infection stratification system for intra-abdominal infection. Arch Surg 1985 Jan; 120: 21.
  • 15. Demmel N, Muth G, Maag K et al.: Prognostic scores in peritonitis: the Mannheim Peritonitis Index or APACHE II? Langenbecks Archiv für Chirurgie 1994; 379(6): 347‑52.
  • 16. Rodolfo L, Bracho-Riquelme MC, Bracho-Riquelme M et al.: Mannheim Peritonitis Index validationstudy at thehospitalgeneral de Durango (Mexico).Cir Ciruj 2002; 70: 217‑25.
  • 17. Basnet RB, Sharma VK: Evaluation of predictive power of MannheimPeritonitis Index.Postgraduate Medical J NAMS. Nr 2, 2010 Jul-Dec; 10: 10‑13.
  • 18. Wabwire B: Stratified outcome evaluation in peritonitis (dissertation). M Med (Surgery) UoN 2009.
  • 19. Ntirenganya F, Ntakiyiruta G, Kakande I: Prediction of Outcome Using the Mannheim peritonitis Index in Patients with Peritonitis at Kigali University Teaching Hospital. East and Central African J Surg 2012 Jul-Aug; 17(2).
  • 20. Batra P, Gupta D, Batra R et al.: Mannheim Peritonitis Index as an evaluative tool in predicting mortality in patients of perforation peritonitis. CIBTech J Surg ISSN: 2319‑3875.
  • 21. Chandrashekar N, Prabhakar GN, Gurukiran CS et al.: Study of prognostic factors in perforative peritonitis. J of Evolution Medical and Dental Sciences 2013 Issue 30, July 29; 2: 5568‑74.
  • 22. Ermolov AS, Bagdat’ev VE, Chudotvortseva EV et al.: Evaluation of the Mannheim Peritonitis Index. Vestn Khir Im I IGrek 1996; 155: 22‑23.
  • 23. Quereshi AM, Zafar A, Khurram S et al.: Predictive power of Mannheim peritonitis Index. J of the College of Physicians and Surgeons Pakistan 2005; 15(11): 693‑96.
  • 24. Paduszyńska K, Kaczka K, Dworzyńska A et al.: Evaluating the prognostic value of selected prognostic scales in patients operated on due to peritonitis. Polish J Surg 2014; 86(9): 422‑28.
  • 25. Ohmann C, Wittmann DH, Wacha H: the Peritonitis Study Group. Prospective evaluation of prognostic scoring systems in peritonitis. Eur J Surg 1993; 159: 267‑74.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0058
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.