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Submitted
June 5, 2021
Accepted
June 14, 2021
Published
June 15, 2021
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Abstract

Background:


The objective of this 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.

Keywords

Mannheim Peritonitis Index prognosis acute peritonitis low-income countries bowel perforation

Article Details

How to Cite
Tobome, S. R. ., Allode, S. A. ., Hodonou, M. A. ., Hessou, T. K. ., & Caronna, R. (2021). Mannheim Peritonitis Index: usefulness in a context with limited resources: Prognosis of acute peritonitis. Journal of Gastric Surgery, 3(2). https://doi.org/10.36159/jgs.v3i2.85
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