Mannheim's Peritoneal index score (MPI)
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Mannheim's Peritoneal index score (MPI) is used for risk stratifying patients with peritonitis based on age, sex, peritoneal fluid analysis and comorbidities.
Mannheim's Peritoneal index score (MPI)
Mannheim's Peritoneal index score (MPI) is used for risk stratifying patients with peritonitis based on age, sex, peritoneal fluid analysis and comorbidities.
| Riskfactor | Score |
|---|---|
| Age >50 years | 5 |
| Female sex | 5 |
| Organ failure | 7 |
| Malignancy | 4 |
| Origin of sepsis not colonic | 4 |
| Diffuse generalized peritonitis | 6 |
| Preoperative duration of peritonitis >24h | 4 |
Intraperitoneal exudates
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Assessment of the prognosis of patients with peritonitis using Mannheim Peritonitis Index (MPI)
- For a score of 27, the sensitivity was 66.67%, specificity was 100%, and positive predictive value for mortality is 100% at an accuracy of 94%.[1]
| Assessment of severity of peritonitis using MPI | ||
| Score | Mortality rate | Morbidity rate |
|---|---|---|
| <21 | 0% | 13.33% |
| 21-27 | 27.28% | 65.71% |
| >27 | 100% | 100% |
References
- ↑ Sharma S, Singh S, Makkar N, Kumar A, Sandhu MS (2016). "Assessment of Severity of Peritonitis Using Mannheim Peritonitis Index". Niger J Surg. 22 (2): 118–122. doi:10.4103/1117-6806.189009. PMC 5013738. PMID 27843277.