Authors : Setyo Sugiharto; Moh Akbar Eska Putra

Volume/Issue : Volume 9 - 2024, Issue 2 - February

Google Scholar : http://tinyurl.com/4s37xyux

Scribd : http://tinyurl.com/5n8de5fs

DOI : https://doi.org/10.5281/zenodo.10643470

Abstract : Background: Peritonitis is still a frequent infection problem and has a high mortality rate, although the development of surgical techniques. The Mannheim Peritonitis Index (MPI) is a scoring system for assessing the prognosis of peritonitis patients with simpler variables than the SAPS and APACHE II scores. Aim: To determine the sensitivity and specificity of MPI in adult secondary peritonitis patients at RSSA Malang. Methods: This research is an observational study with a "Retrospective Cohort. Patients whose medical records incompletely included the MPI variable would be excluded from this study. Data were analyzed to determine the probability value (p) and the Relative Risk (RR) value of the patient's death. Results: In this study there were 71 patients with secondary peritonitis with an average age of 55.14 years (SD 14.08; range 19-80 years). There were significant differences in the variables of age (p=0.045), organ failure (p=0.000) and organ origin (p=0.001). MPI has a sensitivity of 76% and a specificity of 83% with a cut off point at a score of 25.5 and an AUC value of 0.856. Conclussion: MPI is a simple and effective score in assessing the prognosis of adult secondary peritonitis patients.

Keywords : Mannheim Peritonitis Index, Secondary Peritonitis