Abstract
Aim: To study the validity of scoring system, presently being studied worldwide.
These are:
- Mannheim peritonitis index.
- Sepsis score of Elebute and Stoner.
To study the prognostic factor which determine the outcome of the disease.
Materials and Methods: All patients diagnosed with peritonitis and admitted to SCB MEDICAL COLLEGE & HOSPITAL, Surgical Ward or who developed features of peritonitis due to various causes after being admitted between the period of August 2014 to July 2016.
Total number of cases studied – 100.
Observation: Duodenal perforation formed 73% (73) of the patients and 68% (27) of mortality. They had mortality rate of 33%. Both MPI and Sepsis score accurately predicted mortality and morbidity rates , patients whose MPI was ≤ 26 had low mortality rate of 7% whose MPI was > 26 had nearly 86% which was statistically significant ( P< 0.001). Similarly sepsis score of ≤ 20 had mortality of 7%, score > 20had mortality rate of 80% (P < 0.001).
Conclusion: There is wide scope for use of Mannheim peritonitis index, sepsis score of Elebute and Stoner in present context.
Keywords: Mannheim, sepsis score of Elebute, peritonitis.
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Corresponding Author
Dr Narendranath Swain
Associate Professor, Department of Surgery, SCB Medical College Cuttack, Odisha, India
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.16
