Cic edizioni internazionali
Il Giornale di Chirurgia

Mannheim Peritonitis Index (MPI) and elderly population: prognostic evaluation in acute secondary peritonitis

Original Article, 243 - 249
doi: 10.11138/gchir/2016.37.6.243
Tag this article
Abstract
Full text PDF
Introduction. Acute Secondary Peritonitis due to abdominal visceral perforation is characterized by high mortality and morbidity risk.
Risk stratification allows prognosis prediction to adopt the best surgical treatment and clinical care support therapy. In Western countries elderly people represent a significant percentage of population
Aim. Evaluation of Mannheim Peritonitis Index (MPI) and consideration upon old people.
Patients and methods. Retrospective study on 104 patients admitted and operated for “Acute Secondary Peritonitis due to visceral perforation”. MPI was scored. In our study we want to demonstrate efficacy of MPI and the possibility to consider older age an independent prognostic factor.
Results. Mortality was 25.96%. Greatest sensitivity and specificity for the MPI score as a predictor of mortality was at the score of 20.
MPI score of <16 had 0.15 times lower risk of mortality compared to patients with MPI score 17 – 21 and 0.61 lower than patients with MPI >22. Patients with MPI score 17-21 had 0.46 times lower risk of mortality compared to patients with MPI score >21. In the group of patients with MPI score of >20 the mortality rate was 48.5% for patients older than 80 years old and 12.1% for younger patients (p < 0.005); in the group with MPI score of < 20 mortality rate was respectively
8.4% and 1.4% (p < 0.005).
Discussion and conclusions. Data confirm the accuracy of the test. MPI score and age over 80 years old resulted independent predictors of mortality at multivariate analysis.

Vol. XXXVIII (No. 2) 2017 March - April

  1. Precision surgery for older cancer patients
    Montroni I., Audisio R.A.
    doi: 10.11138/gchir/2017.38.2.059
  2. Correct information to patients undergoing breast-conserving surgery: the medicolegal significance
    Sanguinetti A., Polistena A., Luchini R., Monacelli M., Avenia S., Galasse S., Cirocchi R., Avenia N.
    doi: 10.11138/gchir/2017.38.2.061
  3. Spontaneous chronic subdural hematoma in young adult: the role of missing coagulation facto
    Dobran M., Iacoangeli M., Scortichini A.R., Mancini F., Benigni R., Nasi D., Gladi M., Scerrati M.
    doi: 10.11138/gchir/2017.38.2.066
  4. Non-Occlusive Mesenteric Ischemia (NOMI) in Parkinson’s disease: case report
    Salamone G., Raspanti C., Licari L., Falco N., Rotolo G., Augello G., Melfa G., Gulotta G.
    doi: 10.11138/gchir/2017.38.2.071
  5. Bilateral primary ovarian non-Hodgkin’s lymphoma and fertility preservation: 5-year follow-up
    Grigoriadis C., Tympa A., Chasiakou A., Baka S., Botsis D., Hassiakos D.
    doi: 10.11138/gchir/2017.38.2.077
  6. Ingestion of foreign bodies among prisoners: a ten years retrospective study at University Hospital of Southern Italy
    Volpi A., Laforgia R., Lozito C., Panebianco A., Punzo C., Ialongo P., Carbotta G., Sederino M.G., Minafra M., Paterno A., Palasciano N.
    doi: 10.11138/gchir/2017.38.2.080
  7. Gastric paraganglioma: case report and review of the literature
    Bura R., Manca A., Ambu R., Pisano G., Melis A., Maturo A., Erdas E., Nicolosi A., Calò P.G.
    doi: 10.11138/gchir/2017.38.2.084
  8. Choosing the individual rehabilitation program for patients with intermittent claudication
    Orsini A., Saggio G., Sinaimeri G., Izzo L., Razionale F., Valabrega S., D'Alessandro A., Mandolesi S., Di Cello P., Izzo P.
    doi: 10.11138/gchir/2017.38.2.090
  9. Incidental thyroid carcinomas. A retrospective study
    Maturo A., Tromba L., De Anna L., Carbotta G., Livadoti G., Donello C., Falbo F., Galiffa G., Esposito A., Biancucci A., Carbotta S.
    doi: 10.11138/gchir/2017.38.2.094
  10. Alla ricerca dei chirurghi perduti CHARLES PIERRE DENONVILLIERS E LA “SUA” APONEUROSI
    Di Matteo G.
    doi: 10.11138/gchir/2017.38.2.103
Last Viewed articles: la lista degli ultimi x visitati.
  1. Mannheim Peritonitis Index (MPI) and elderly population: prognostic evaluation in acute secondary peritonitis
    Salamone G., Licari L., Falco N., Augello G., Tutino R., Campanella S., Guercio G., Gulotta G.
    doi: 10.11138/gchir/2016.37.6.243
credits