Manheim peritonitis index score as a predictor of outcome among patients with secondary peritonitis at Bugando Medical Centre, Mwanza, Tanzania (Record no. 18585)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 05199nam a22003737a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MMED/6000267/T/18 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MMED/6000267/T/18 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240423150212.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 221208b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, BMC Premises, Post Code: 33102: |
| Source | P. O Box 1464, Mwanza – Tanzania: |
| Source | Phone: +255 28 298 3384: |
| Source | Fax: +255 28 298 3386: |
| Source | Email: vc@bugando.ac.tz : |
| Source | Website: www.bugando.ac.tz |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | CUHAS/MMED/6000267/T/18 |
| 040 ## - CATALOGING SOURCE | |
| Language of cataloging | English |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Nuri Aloyce A S |
| Dates associated with a name | [Male] |
| 9 (RLIN) | 47138 |
| Relator term | CUHAS/MMED/6000267/T/18 |
| 210 ## - ABBREVIATED TITLE | |
| Abbreviated title | ABREVIATIONS: |
| Qualifying information | ABG Arterial Blood Gases APACHE II Acute Physiology and Chronic Health Evaluation ARF Acute Renal Failure BMC Bugando Medical Centre CREC CUHAS/BMC Research Ethical Committee CUHAS Catholic University of Health and Allied-Sciences HIV -AIDS Human Immunodeficiency Virus Acquired Immunodeficiency Syndrome LMIC Low and Middle Income Countries LOS Length of hospital Stay MPI Mannheim Peritonitis Index PCO2 Partial Pressure of Carbon dioxide PO2 Partial Pressure of Oxygen POSSUM Physiological and Operative Severity Score of enUmeration of Mortality and Morbidity PUD Peptic Ulcer Disease. SAPS Simplified Acute Physiology Score SSS Sepsis Severity Score |
| 222 ## - KEY TITLE | |
| Key title | DEFINITIONS OF TERMS: |
| Qualifying information | Secondary peritonitis: is defined as an inflammation of the peritoneum due to loss of integrity of the gastrointestinal tract or other visceral organ. |
| Key title | DEFINITIONS OF TERMS: |
| Qualifying information | Mannheim peritonitis index score: is one of many scoring systems used to predict the outcome of peritonitis and be able to select high-risk patients for more aggressive therapeutic procedures. |
| Key title | DEFINITIONS OF TERMS: |
| Qualifying information | Outcomes of secondary peritonitis: was defined in term of postoperative complications (surgical site infection, enterocutaneous fistula, wound dehiscence, organ failure), length of hospital of stay and mortality during the period of hospitalization. |
| Key title | DEFINITIONS OF TERMS: |
| Qualifying information | Comorbidity: is defined as any long term illness the patient had prior to secondary peritonitis. |
| 245 ## - TITLE STATEMENT | |
| Title | Manheim peritonitis index score as a predictor of outcome among patients with secondary peritonitis at Bugando Medical Centre, Mwanza, Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS – Bugando] : |
| Date of publication, distribution, etc. | 2022 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | xiii; 115 Pages |
| Extent | Includes References and Appendix |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Secondary peritonitis is one of the most common surgical emergencies with significant morbidity and mortality. Multiple scoring systems have been proposed and assessed in predicting the outcome in patients with peritonitis. Among them is the Mannheim peritonitis index (MPI). MPI is a simple and specific scoring system for predicting outcome in patients with secondary peritonitis. Increasing scores are associated with poorer prognosis, needs intensive management. The aim of this study is to assess the usefulness of MPI in predicting outcome among patients with secondary peritonitis at Bugando Medical Centre (BMC).<br/><br/>Methods: This was a cross sectional study involving patients with secondary peritonitis admitted to BMC over a six-month duration between December 2021 and May 2022. The study included all patients who were operated for secondary peritonitis within the period of study.<br/><br/>Results: A total of 88 patients (M: F ratio = 1: 1.7) were studied. Their median age at presentation was 31 [inter-quartile range, 23 - 40.5] years. Ileojejunal perforation was the most common cause of secondary peritonitis in 31(35.2%) patients. Postoperative complication rate was 75.0% and surgical site infection was the most frequent complication in 42.4% of cases. Diffuse generalized peritonitis (p = 0.004) and surgery performed by junior doctors (p= 0.017) were statistically significantly associated with postoperative complications. The overall median length of hospital stay (LOS) was 8 days. Female gender (p = 0.014) and surgery been done by junior doctors (p = 0.005) were the main predictors of LOS. Mortality rate was 13.6% and it was statistically significantly associated with organ failure (p < 0.001) and diffuse type of peritonitis (p = 0.003). MPI scores was significantly associated with mortality (p < 0.001) and postoperative complications (p = 0.013) among patients with secondary peritonitis. MPI <21 were 9(36.0%), 21- 29 were 8(32.0%) and >29 were 8(32.0%). There was no significant association between MPI scores and the length of hospital stay (p =0.389).<br/><br/>Conclusion: This study has demonstrated that MPI scoring is a reliable predictor of mortality and postoperative complications in patients with secondary peritonitis and can be helpful in planning and evaluating future treatments with great ease. We would like to recommend its use in the prognostic evaluation of secondary peritonitis patients at BMC.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Surgery |
| 9 (RLIN) | 29082 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 15823 |
| 9 (RLIN) | 30721 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Copy number | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 12/08/2022 | CREC/514/2022 | 12/08/2022 | CREC/514/2022 | 12/08/2022 | POSTGRADUATE DISSERTATIONS |