Mannheim's Peritonitis Index - A Predictor of Mortality in Peritonitis

INTRODUCTION: Mannheim Peritonitis Index (MPI) is a scoring system that can objectify morbidity and mortality rate in patients presenting with peritonitis and accordingly help in the mode of management. AIMS & OBJECTIVES: To assess mortality rate in patients presenting with peritonitis using Manheim’s Peritonitis Index. MATERIAL & METHODS: It is a 12 months retrospective study done taking into account patients who presented to ER with signs of peritonitis. MPI was calculated using age, gender, signs of organ failure, malignancy, preoperative duration of peritonitis, origin of sepsis, diffuse generalized peritonitis and character of exudates.RESULTS: A total of 77 patients were studied, out of which 33 were female and 44 were male. 67 patients were of more than 50 years of age.MPI was calculated and mortality rate was assessed. Number of deaths were 10 out of which 3 patients were in the range of 21-29 MPI and 7 patients were in the range of >30 MPI. Hence MPI was found to be an accurate predictor of mortality. CONCLUSION: Mannheim Peritonitis Index is an effective tool for surgeons to predict the outcome in cases of peritonitis and helps in planning the mode of management accordingly.