腹膜炎患者的曼海姆腹膜炎指数及多器官功能衰竭评分评估
Evaluation of Mannheim peritonitis index and multiple organ failure score in patients with peritonitis.
作者信息
Notash Ali Yaghoobi, Salimi Javad, Rahimian Hosein, Fesharaki Mojgan sadat Hashemi, Abbasi Ali
机构信息
Department of Surgery, Tehran University of Medical Sciences, Sina Hospital, 11365, Emam Khomeini Ave, Tehran, Iran.
出版信息
Indian J Gastroenterol. 2005 Sep-Oct;24(5):197-200.
BACKGROUND
Early classification of severity of peritonitis by scoring systems, including the Mannheim peritonitis index (MPI) and the multiple organ failure (MOF) score, modulates surgical and medical management.
AIM
To predict outcome of patients with peritonitis using the MPI and MOF scoring systems.
METHODS
Prospective evaluation of the MPI and MOF score was performed in 80 consecutive patients with peritonitis who underwent uniform surgical treatment. Risk ratios were calculated for the MPI and other patient characteristics. Risk ratio was not calculable for the MOF score.
RESULTS
Overall in-hospital mortality rate was 17.5%, including 80% of patients with MPI>29. In non-survivors the mean score was 4.8 (SD 1.46) and 33.07 (4.81) for the MOF score and MPI, respectively. Survivors had mean MOF score of 0.28 (0.20) and mean MPI of 19.39 (6.68).
CONCLUSION
The MPI and MOF score provide simple and objective means to predict the outcome of patients with peritonitis.
背景
通过评分系统对腹膜炎严重程度进行早期分类，包括曼海姆腹膜炎指数（MPI）和多器官功能衰竭（MOF）评分，可调节手术和药物治疗。
目的
使用MPI和MOF评分系统预测腹膜炎患者的预后。
方法
对80例接受统一手术治疗的连续性腹膜炎患者进行MPI和MOF评分的前瞻性评估。计算MPI与其他患者特征的风险比。MOF评分无法计算风险比。
结果
总体住院死亡率为17.5%，其中MPI>29的患者占80%。在非幸存者中，MOF评分和MPI的平均得分分别为4.8（标准差1.46）和33.07（4.81）。幸存者的MOF平均评分为0.28（0.20），MPI平均评分为19.39（6.68）。
结论
MPI和MOF评分提供了简单客观的方法来预测腹膜炎患者的预后。
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