Comparison of MPI and APACHE II in the Prognosis of Perforating Peritonitis
| Autor: | Himanshu Agrawal, Arun K Gupta, Nikhil Gupta, Manu Vats, Sumit Pathania, CK Durga |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Journal of Clinical and Diagnostic Research, Vol 14, Iss 6, Pp PC09-PC13 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2249-782X 0973-709X |
| DOI: | 10.7860/JCDR/2020/42507.13798 |
| Popis: | ABSTRACT Introduction: Peritonitis is an important surgical emergency that a surgeon has to face. Reproducible scoring systems that allow a surgeon to determine the severity of peritonitis are essential to prognosticate the patient. Aim: To evaluate effectiveness of Mannheim Peritonitis Index (MPI) in comparison to Acute Physiology and Chronic Health Evaluation (APACHE) II in assessing prognosis of patients with perforation Peritonitis. Materials and Methods: In this prospective observational study from November 2015 till March 2017, 63 patients above 18 years of age presenting with perforation peritonitis were included. APACHE II and MPI scoring systems were calculated in all the patients in order to assess their individual risk of morbidity and mortality. The outcome variables studied were: Postoperative wound infection, wound dehiscence, anastomotic leak, respiratory complications, duration of hospital stay, need of ventilator support and mortality. The inferences were drawn with the use of statistical software package SPSS v22.0. The tests used were ANOVA, Chi-square analysis and t-test. The p value |
| Databáze: | Directory of Open Access Journals |
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