Mannheim Peritonitis Index
The Mannheim Peritonitis Index (MPI) is a score that is used in medicine to estimate the prognosis of patients with peritonitis .
Risk factors
Points are awarded for the presence of the risk factors below . The MPI results from the sum of all points awarded.
| Risk factor | Points | |
|---|---|---|
| Age> 50 years | 5 | |
| Gender female | 5 | |
| Organ failure | 7th | |
| Malignancy | 4th | |
| Duration of peritonitis before surgery> 24 hours | 4th | |
| The starting point is not the large intestine | 4th | |
| diffuse spread | 6th | |
| Exudate | clear | 0 |
| cloudy-purulent | 6th | |
| muddy-jauchy | 12 | |
If the MPI is ≤ 20, the expected mortality of the patient is almost 0%. With an MPI> 29, a mortality rate of more than 50% is to be expected.
origin
The MPI is based on the analysis of the disease progression of patients with peritonitis in clinics in Mannheim and Frankfurt am Main . The score was later validated through studies by other clinics .
Individual evidence
- ↑ MM Lindner u. a .: Which clinical factors influence mortality in bacterial peritonitis: Mannheim Peritonitis Index (MPI). In: Langenbeck's Archives of Surgery. Volume 369, Springer, Berlin / Heidelberg 1986, ISSN 1435-2451 , p. 788.
- ↑ N. Demmel, K. Maag, G. Osterholzer: Value of clinical parameters for assessing the prognosis of the peritonitis validation of the Mannheim peritonitis index. In: Langenbeck's Archives of Surgery. Volume 379, Springer, Berlin / Heidelberg 1994, ISSN 1435-2451 , pp. 152-158.
- ↑ C. Ohmann, T. Hau: Prognostic indices in peritonitis. In: Hepatogastroenterology. 44 (16), Jul-Aug 1997, pp. 937-946.
literature
- Stefan Eisoldt: Case book surgery. 2nd Edition. Georg Thieme Verlag, Stuttgart 2006, p. 151f.
