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>Journals >Cirugía y Cirujanos >Year 2002, Issue 4


Bracho-Riquelme RL, Melero-Vela A, Torres-Ramírez A
Mannheim Peritonitis Index Validation Study at the Hospital General de Durango (Mexico)
Cir Cir 2002; 70 (4)

Language: Inglés
References: 56
Page: 217-225
PDF: 71.79 Kb.


Full text




ABSTRACT

A study to confirm the predicative value of the Mannheim peritonitis index (MPI) among patients at the Hospital General de Durango was undertaken to evaluate the severity of peritonitis and to make a prognosis of survival-mortality pondering each risk factor. The simplicity of MPI makes it ideal for hospitals with serious shortages such as those in Mexico). From March 1 to November 30, 1999, 176 cases were studied. Patients were divided into groups according to the following categories (MPI points): a)‹ 21, 21 – 29 and ›29, and b) ≤26 and ›26. A life table was constructed to compare patient survival with peritonitis severity. Odds ratios that analyzed presence or absence of each adverse factor and outcome were calculated. Survival curves of the three subgroups (‹21, 21 – 29, and ›29) had differences that were statistically significant (p ‹ 0.0001). Patients with ›26 points had a mortality rate of 40%, whereas patients with ≤26 MPI points did not reach a 3% mortality rate. All MPI adverse factors, except of colonic origin, behaved as expected, and the following were especially useful: organic failure; time elapsed >24 h; malignancy; age >50 years, and generalized peritonitis.


Key words: , Peritonitis, Scoring systems, Outcome predictors.


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>Journals >Cirugía y Cirujanos >Year 2002, Issue 4
 

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