Assessment of Severity of Peritonitis Using Mannheim Peritonitis Index

Abstract

Original Research Article Background: Despite advancement in diagnosis, management and critical care of patients with peritonitis due to various etiology, prognosis remain poor. Early assessment by scoring system will influence the management and prognosis. Aim: Evaluation of Mannheim Peritonitis Index Score for predicting the outcome in patients with peritonitis. Material and Method: Prospective study of 100 patient admitted and operated in National Institute of Medical Sciences & Hospital. The structured scoring system i.e. Mannheim Peritonitis index was applied along with other clinical and biochemical parameter recorded in pre-structured Performa. Data was analyzed for predicting mortality and morbidity. Results: In present study the mortality was found to be 17% with mean MPI score 31.35 with a standard deviation of 5.2 while in cured group the mean MPI score was 17.78 with a standard deviation of 6.3. The p value is highly significant as it was < .0001. Conclusion: MPI is disease specific, easy scoring system for predicting the mortality in patient with peritonitis. Increasing score are associated with poorer prognosis, needs intensive management and hence it should be routinely in clinical practice.