Background: The objective of the present study is to evaluate the Mannheim Peritonitis Index (MPI) usefulness for acute generalized peritonitis management in a clinical limited resources context. Methods: This is a prospective study from 1 January to 31 October 2019 including patients admitted to a sub-saharan hospital for acute generalized peritonitis. Perioperative variables and outcomes were considered. Results: 70 patients were included. Mean age was 32.6 ± 14.6 years with a sex ratio of 1.33. The mean time to patients’ hospital admission was 3.9 ± 2.1 days. Most patients had ileal and gastric perforations (27.1% and 18.6%). Twenty six patients (37.1%) developed complications and thirty-day mortality rate was 14.3%. Positive predictive value of MPI was 63.6% and negative predictive value was 83, 8%. Sensitivity of MPI ≥ 26 was 77.8%; Specificity of MPI < 25 was 72.1%. Conclusion: This experience shows that MPI is a good predictor of morbidity and mortality for patients with acute peritonitis even in a difficult context with few resources and many patients. Identifying the most critical patients, a more careful surgical staff involvement may improve patients outcome.

Mannheim Peritonitis Index: usefulness in a context with limited resources / Romaric Tobome, Semevo; Alexandre Allode, Salako; Adrien Hodonou, Montcho; Kinnongni Hessou, Thierry; Caronna, Roberto. - In: JOURNAL OF GASTRIC SURGERY. - ISSN 2704-9108. - 3:2(2021), pp. 1-4. [10.36159/jgs.v3i2.85]

Mannheim Peritonitis Index: usefulness in a context with limited resources

Roberto Caronna
Ultimo
Writing – Review & Editing
2021

Abstract

Background: The objective of the present study is to evaluate the Mannheim Peritonitis Index (MPI) usefulness for acute generalized peritonitis management in a clinical limited resources context. Methods: This is a prospective study from 1 January to 31 October 2019 including patients admitted to a sub-saharan hospital for acute generalized peritonitis. Perioperative variables and outcomes were considered. Results: 70 patients were included. Mean age was 32.6 ± 14.6 years with a sex ratio of 1.33. The mean time to patients’ hospital admission was 3.9 ± 2.1 days. Most patients had ileal and gastric perforations (27.1% and 18.6%). Twenty six patients (37.1%) developed complications and thirty-day mortality rate was 14.3%. Positive predictive value of MPI was 63.6% and negative predictive value was 83, 8%. Sensitivity of MPI ≥ 26 was 77.8%; Specificity of MPI < 25 was 72.1%. Conclusion: This experience shows that MPI is a good predictor of morbidity and mortality for patients with acute peritonitis even in a difficult context with few resources and many patients. Identifying the most critical patients, a more careful surgical staff involvement may improve patients outcome.
2021
Mannheim Peritonitis Index; prognosis; acute peritonitis; low-income countries; bowel perforations
01 Pubblicazione su rivista::01a Articolo in rivista
Mannheim Peritonitis Index: usefulness in a context with limited resources / Romaric Tobome, Semevo; Alexandre Allode, Salako; Adrien Hodonou, Montcho; Kinnongni Hessou, Thierry; Caronna, Roberto. - In: JOURNAL OF GASTRIC SURGERY. - ISSN 2704-9108. - 3:2(2021), pp. 1-4. [10.36159/jgs.v3i2.85]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1570726
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