To Study the Prognostic Factors and Management of Peritonitis
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 8
Abstract
Aim: To study the validity of scoring system, presently being studied worldwide. These are: a. Mannheim peritonitis index. b. 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.
Authors and Affiliations
Dr Narendranath Swain
Keywords
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