Surgery Book

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Mannheim Peritonitis Index

Aka: Mannheim Peritonitis Index, Clinical Scoring System to Predict Mortality in Peritonitis
  1. Criteria: Tally scores of positive criteria
    1. Organ Failure: 7
    2. Diffuse peritonitis: 6
    3. Age older than 50 years old: 5
    4. Female gender: 5
    5. Malignancy: 4
    6. Non-colonic Sepsis origin: 4
    7. Preoperative duration of peritonitis: 4
    8. Exudate
      1. Fecal: 12
      2. Cloudy or purulent: 6
      3. Clear: 0
  2. Interpretation
    1. Score 0-5: 0% Mortality
    2. Score 6-13: 20% Mortality
    3. Score 14-21: 13% Mortality
    4. Score 22-29: 26% Mortality
    5. Score 30-39: 64% Mortality
  3. References
    1. Biondo (2006) Br J Surg 93(5): 616-22

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