IS THE MANNHEIM INDEX STILL USEFUL IN THE PROGNOSIS OF PATIENTS WITH SECONDARY ACUTE PERITONITIS?

Authors

  • C.G. FLOREA “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
  • I.S. COMAN “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
  • M. LIȚESCU “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
  • C. BURLEANU
  • Violeta Elena COMAN “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
  • Raluca Maria FLOREA “Sf. Ioan” Emergency Clinical Hospital, Bucharest, Romania
  • A. ERCHID “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
  • V.T. GRIGOREAN “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

Keywords:

PERITONITIS, DIGESTIVE PERFORATION, PEPTIC ULCER, MANNHEIM INDEX

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.

Author Biographies

  • C.G. FLOREA, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

    Ph.D. Student, Doctoral School 
    “Bagdasar-Arseni” Emergency Clinical Hospital, Bucharest, Romania
    Department of General Surgery

  • I.S. COMAN, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

    Faculty of Medicine Department of Surgery
    Faculty of Dentistry, Department of Surgery
    “Bagdasar-Arseni” Emergency Clinical Hospital, Bucharest, Romania
    Department of General Surgery

  • M. LIȚESCU, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

    Faculty of Dentistry, Department of Surgery
    “Sf. Ioan” Emergency Clinical Hospital, Bucharest, Romania
    Department of  General Surgery

  • C. BURLEANU

    “Bagdasar-Arseni” Emergency Clinical Hospital, Bucharest, Romania
    Department of General Surgery

  • Violeta Elena COMAN, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

    Faculty of Medicine Department of Surgery
    “Bagdasar-Arseni” Emergency Clinical Hospital, Bucharest, Romania
    Department of General Surgery

  • Raluca Maria FLOREA, “Sf. Ioan” Emergency Clinical Hospital, Bucharest, Romania

    Department of Gastroenterology

  • A. ERCHID, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

    Ph.D. Student, Doctoral School
    “Bagdasar-Arseni” Emergency Clinical Hospital, Bucharest, Romania
    Department of General Surgery

  • V.T. GRIGOREAN, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

    Faculty of Medicine Department of Surgery
    “Bagdasar-Arseni” Emergency Clinical Hospital, Bucharest, Romania
    Department of General Surgery

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Additional Files

Published

2023-06-30

Issue

Vol. 127 No. 2 (2023): The Medical-Surgical Journal

Section

SURGERY

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