IS THE MANNHEIM INDEX STILL USEFUL IN THE PROGNOSIS OF PATIENTS WITH SECONDARY ACUTE PERITONITIS?
Abstract
Digestive tract perforations or anastomotic dehiscence are the main causes of secondary acute peritonitis, in 80% of cases rapid surgical intervention combined with antibiotic therapy leads to a favorable prognosis. The Mannheim index represents a simple and inexpensive score used in acute peritonitis, which was originally derived from a study on 1253 patients with peritonitis treated between 1963 and 1979. Material and methods: We performed a retrospective study on 185 patients, hospitalized with the diagnosis of acute peritonitis who underwent surgery, in the general surgery clinic of the Emergency Clinical Hospital “Bagdasar-Arseni” Bucharest between 2016 and 2019. The patients were grouped into 4 risk groups according to the Mannheim index as follows: < 12, 12 - 20, 21 - 27, > 27. Results: A value of the Mannheim index below 12 was recorded in 75 patients with a mortality of 8%, values between 12 and 20 were in 59 patients with a mortality of 13.55%, values between 21 and 27 were in 40 patients with a mortality of 25% and a Mannheim index value above 27 were in 11 patients with a mortality of 63.63%. Conclusions: The Mannheim Index may be a useful predictor of progression, and further analysis may be beneficial to explore this relationship further.
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